Individual
MS. ANGELA GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
100 DIPLOMAT DR, #5H, MOUNT KISCO, NY 10549-2004
(914) 218-8774
Mailing address
100 DIPLOMAT DR, #5H, MOUNT KISCO, NY 10549-2004
(914) 218-8774
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
011401
NY
235Z00000X
Speech-Language Pathologist
011401-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03799391
—
NY
Enumeration date
09/25/2009
Last updated
12/02/2014
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