Shannon Susanne Gonzalez in Forsyth - Speech-language Pathologist
Shannon Susanne Gonzalez - NPI 1336266261
Shannon Susanne Gonzalez is a Speech-language Pathologist in Forsyth, Georgia. Shannon Susanne Gonzalez practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Shannon Susanne Gonzalez is 1336266261. The last update date is 2022-10-05.
Shannon Susanne Gonzalez's current location address is 215 Crescent Dr, Forsyth, Georgia. You can contact this provider via phone number 4782134604 and fax number 4789932035. The mailing address for Shannon Susanne Gonzalez is 215 Crescent Dr, Forsyth, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shannon Susanne Gonzalez |
|---|---|
| Address | 215 Crescent Dr, Forsyth, Georgia |
| Phone Number | 4782134604 |
| Fax Number | 4789932035 |
| Sole Proprietor | Y |
| Credentials | M.A., CCC- |
NPI Number Detail
| NPI Number | 1336266261 |
|---|---|
| Provider Enumeration Date | 2007-03-24 |
| Last Updated Date | 2022-10-05 |
Provider Mailing Address Detail
| Address | 215 Crescent Dr |
|---|---|
| City | Forsyth |
| State | Georgia (GA) |
| Post Code | 310295466 |
| Phone Number | 4782134604 |
| Fax Number | 4789932035 |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
| Licence No | SLP005082 |
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Definition: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Spe |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 000913844E | GA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Shannon Susanne Gonzalez by the Centers for Medicare & Medicaid Services (CMS)?
The Shannon Susanne Gonzalez has been assigned the NPI (National Provider Identifier) 1336266261. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Shannon Susanne Gonzalez?
The Shannon Susanne Gonzalez is situated at 215 Crescent Dr, in the city of Forsyth, state of GA, with the zip code 310295466.
What is Shannon Susanne Gonzalez's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Shannon Susanne Gonzalez is Speech-language Pathologist, and the taxonomy code that classifies this field of practice is 235Z00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1336266261 to Shannon Susanne Gonzalez?
The Centers for Medicare & Medicaid Services originally issued the 1336266261 to Shannon Susanne Gonzalez on 2007-03-24.
As of what date were the details related to Shannon Susanne Gonzalez most recently updated or revised?
The information pertaining to Shannon Susanne Gonzalez, including its address, specialty, and other relevant details, was last updated or revised on 2022-10-05.