Individual
HANNAH GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
415 CEDAR ST SE, ALBUQUERQUE, NM 87106-3927
(505) 224-7023
Mailing address
11724 TIVOLI AVE NE, ALBUQUERQUE, NM 87111-5241
(602) 541-0981
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
SLP4723
AZ
235Z00000X
Speech-Language Pathologist
Primary
SLP7173
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
125477
—
AZ
Enumeration date
01/30/2007
Last updated
10/05/2023
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