Individual
CLARISSA ANDREA GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP-INTERN
Contact information
Practice address
13642 N HIGHWAY 183 STE 200, AUSTIN, TX 78750-2210
(512) 331-4115
Mailing address
13642 N HIGHWAY 183 STE 200, AUSTIN, TX 78750-2210
(512) 331-4115
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
118927
TX
235Z00000X
Speech-Language Pathologist
36677
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149984001
—
TX
05
—
207164901
—
TX
Enumeration date
01/10/2012
Last updated
09/07/2023
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