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NPI Code Detail

MEDICARE: HAYLEY MICHELLE GOMEZ CCC-SLP

MEDICARE: HAYLEY MICHELLE GOMEZ 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 Pathologist08771MD
2235Z00000XSpeech-Language Pathologist116816TX

General Provider Information

NPI Number : 1174093033
Entity Type Code : Individual
Provider Name (Legal Business Name) : HAYLEY MICHELLE GOMEZ CCC-SLP
Provider Business Mailing Address
First Line : 6716 SAVANNAH LN
Second Line :
City : FORT WORTH
State : TX
Zip : 76132-3728
Country : US
Telephone Number : 817-266-8488
Fax Number :
Provider Business Practice Location Address
First Line : 7201 HAWKINS VIEW DR STE 151
Second Line :
City : FORT WORTH
State : TX
Zip : 76132-3934
Country : US
Telephone Number : 817-479-7019
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/04/2018
Last Update Date : 07/31/2023

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Directions to “ HAYLEY MICHELLE GOMEZ CCC-SLP” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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