Provider Demographics
NPI:1619052206
Name:GONZALEZ, CLAUDIA ISABEL (MA, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:CLAUDIA
Middle Name:ISABEL
Last Name:GONZALEZ
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:CLAUDIA
Other - Middle Name:ISABEL
Other - Last Name:GUERRERO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, CCC-SLP
Mailing Address - Street 1:1201 N JACKSON RD STE 900
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78501
Mailing Address - Country:US
Mailing Address - Phone:956-661-0475
Mailing Address - Fax:956-688-6781
Practice Address - Street 1:1201 N JACKSON RD STE 900
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501
Practice Address - Country:US
Practice Address - Phone:956-661-0475
Practice Address - Fax:956-688-6781
Is Sole Proprietor?:No
Enumeration Date:2006-10-25
Last Update Date:2023-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX101342235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX143404-501Medicaid
TX454-597Medicare ID - Type UnspecifiedFACILITY MDCR NUMBER