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NPI Code Detail

MEDICARE: MRS. DAROLYN GONZALES MS CCC SLP

MEDICARE:  MRS. DAROLYN  GONZALES  MS CCC SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist102249TX

General Provider Information

NPI Number : 1881717239
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DAROLYN GONZALES MS CCC SLP
Provider Business Mailing Address
First Line : 4300 RED CLOUD DR
Second Line :
City : AUSTIN
State : TX
Zip : 78759-4241
Country : US
Telephone Number : 512-382-9918
Fax Number : 512-382-9918
Provider Business Practice Location Address
First Line : 4300 RED CLOUD DR
Second Line :
City : AUSTIN
State : TX
Zip : 78759-4241
Country : US
Telephone Number : 512-382-9918
Fax Number : 512-382-9918
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/09/2007
Last Update Date : 07/08/2007

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Directions to “ MRS. DAROLYN GONZALES MS CCC SLP” Practice Location

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