Provider Demographics
NPI:1669634978
Name:GOHMERT, ANDREA K (AUD)
Entity type:Individual
Prefix:DR
First Name:ANDREA
Middle Name:K
Last Name:GOHMERT
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:MISS
Other - First Name:ANDREA
Other - Middle Name:KAY
Other - Last Name:MCDOWELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS CCCA
Mailing Address - Street 1:1966 INWOOD RD
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75235-7298
Mailing Address - Country:US
Mailing Address - Phone:972-883-3000
Mailing Address - Fax:972-883-3016
Practice Address - Street 1:1966 INWOOD RD.
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75235
Practice Address - Country:US
Practice Address - Phone:972-883-3000
Practice Address - Fax:972-883-3016
Is Sole Proprietor?:No
Enumeration Date:2008-06-27
Last Update Date:2022-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX80705231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1669634978Medicare NSC