Individual
JENNIFER GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1800 TELLURIDE WAY APT 102, LOUISVILLE, KY 40223-0040
(812) 719-4623
Mailing address
1800 TELLURIDE WAY APT 102, LOUISVILLE, KY 40223-0040
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/29/2015
Last updated
09/29/2015
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