Provider Demographics
NPI:1740084045
Name:GONZALEZ, GRACIELA DE LA CARIDAD
Entity type:Individual
Prefix:
First Name:GRACIELA
Middle Name:DE LA CARIDAD
Last Name:GONZALEZ
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1638 COVINGTON MEADOWS CIR
Mailing Address - Street 2:
Mailing Address - City:LEHIGH ACRES
Mailing Address - State:FL
Mailing Address - Zip Code:33936-7721
Mailing Address - Country:US
Mailing Address - Phone:239-980-6794
Mailing Address - Fax:
Practice Address - Street 1:1638 COVINGTON MEADOWS CIR
Practice Address - Street 2:
Practice Address - City:LEHIGH ACRES
Practice Address - State:FL
Practice Address - Zip Code:33936-7721
Practice Address - Country:US
Practice Address - Phone:239-980-6794
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-03
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist