Individual
EMILY GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
3940 PRINCE WILLIAM PKWY, REHAB DEPARTMENT, WOODBRIDGE, VA 22192-4513
(703) 763-5426
(505) 468-8731
Mailing address
3940 PRINCE WILLIAM PKWY, REHAB DEPARTMENT, WOODBRIDGE, VA 22192-4513
(703) 763-5426
(505) 468-8731
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202007617
VA
235Z00000X
Speech-Language Pathologist
2715
AL
Other
Enumeration date
10/21/2008
Last updated
01/14/2015
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