Provider Demographics
NPI:1376722413
Name:GOMEZ, CLAUDIA HERNANDEZ (MS, CCC/SLP)
Entity Type:Individual
Prefix:MRS
First Name:CLAUDIA
Middle Name:HERNANDEZ
Last Name:GOMEZ
Suffix:
Gender:F
Credentials:MS, CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 374
Mailing Address - Street 2:
Mailing Address - City:MERCEDES
Mailing Address - State:TX
Mailing Address - Zip Code:78570-0374
Mailing Address - Country:US
Mailing Address - Phone:956-207-7154
Mailing Address - Fax:
Practice Address - Street 1:8030 N FM 1015
Practice Address - Street 2:
Practice Address - City:MERCEDES
Practice Address - State:TX
Practice Address - Zip Code:78570-4809
Practice Address - Country:US
Practice Address - Phone:956-565-3200
Practice Address - Fax:966-565-3209
Is Sole Proprietor?:No
Enumeration Date:2007-10-25
Last Update Date:2012-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX40186235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist