Individual
CHARMELA JOSEPA GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
15050 14TH RD, WHITESTONE, NY 11357-2609
(718) 767-0071
Mailing address
35 FARNUM BLVD, FRANKLIN SQUARE, NY 11010-1619
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/23/2014
Last updated
09/23/2014
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