Provider Demographics
NPI:1669090700
Name:GONZALEZ BILINGUAL THERAPY SERVICES LLC
Entity type:Organization
Organization Name:GONZALEZ BILINGUAL THERAPY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH LANGUAGE PATHOLOGIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:NATALIA
Authorized Official - Middle Name:
Authorized Official - Last Name:GONZALEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:787-374-5148
Mailing Address - Street 1:8415 SOLITUDE HILL LN
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-1491
Mailing Address - Country:US
Mailing Address - Phone:787-374-5148
Mailing Address - Fax:
Practice Address - Street 1:21734 PROVINCIAL BLVD STE 240S
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450-6534
Practice Address - Country:US
Practice Address - Phone:713-231-5580
Practice Address - Fax:713-489-1309
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-06
Last Update Date:2022-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1801278593Medicaid