Provider Demographics
NPI:1043643976
Name:GONZALEZ, RACHEL (MT-BC)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:GONZALEZ
Suffix:
Gender:F
Credentials:MT-BC
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:
Other - Last Name:FIRCHAU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MT-BC
Mailing Address - Street 1:12415 N CAPROCK WAY
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77346-3088
Mailing Address - Country:US
Mailing Address - Phone:916-799-4371
Mailing Address - Fax:281-359-4747
Practice Address - Street 1:12415 N CAPROCK WAY
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77346-3088
Practice Address - Country:US
Practice Address - Phone:916-799-4371
Practice Address - Fax:281-359-4747
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-14
Last Update Date:2013-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA05376225A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist