Provider Demographics
NPI:1235600495
Name:GONZALEZ, KAREN ANDREA (MS, CF-SLP)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:ANDREA
Last Name:GONZALEZ
Suffix:
Gender:F
Credentials:MS, CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2237 LAUREL OAK DR
Mailing Address - Street 2:
Mailing Address - City:VALRICO
Mailing Address - State:FL
Mailing Address - Zip Code:33596-5258
Mailing Address - Country:US
Mailing Address - Phone:954-319-3037
Mailing Address - Fax:
Practice Address - Street 1:1524 EAST AVE SOUTH
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34239
Practice Address - Country:US
Practice Address - Phone:941-780-6737
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-16
Last Update Date:2018-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist