Individual
LISA MARIE GONZALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
11875 HUMBOLDT DRIVE, NORTHGLENN, CO 80233
(303) 601-4684
Mailing address
11875 HUMBOLDT DR, NORTHGLENN, CO 80233-1215
(303) 601-4684
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
10/24/2017
Last updated
07/21/2022
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