Individual
RICHARD E GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SLP
Contact information
Practice address
1300 CAMINO SIERRA VIS, SANTA FE, NM 87505-1007
(505) 577-2992
(505) 467-2648
Mailing address
131 SOLANA DR, SANTA FE, NM 87501-1654
(505) 577-2992
(505) 467-2648
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1682
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
E7606
—
NM
Enumeration date
08/23/2010
Last updated
08/23/2010
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