Individual
SAVANNAH GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3023 S FORT AVE SUITE B, STE B, SPRINGFIELD, MO 65807
(417) 890-4656
(417) 708-0889
Mailing address
3023 S FORT AVE SUITE B, STE B, SPRINGFIELD, MO 65807
(417) 890-4656
(417) 708-0889
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2022027502
—
MO
Enumeration date
07/18/2022
Last updated
07/18/2022
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