HOLLY GONZALES (NPI# 1043230014) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043230014 |
| Entity Type | Individual |
| Full Name | HOLLY GONZALES |
| Credential | LPC |
| Practice Address |
2323 W Front St Tyler TX 75702-7704 |
| Mailing Address |
Po Box 4730 Tyler TX 75712-4730 |
| Practice Telephone | 9035971351 |
| Practice Fax Number | 9035357386 |
| Mailing Telephone | 9035971351 |
| Mailing Fax Number | 9035357386 |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2011-06-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 18552 | TX | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 178304501 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184984155 | Holly Jo Gonzales | Radiology | 800 S Church St Ste 101, Jonesboro, AR 72401 | 2012-05-23 |
| 1992158083 | Holly Gonzales | Counselor | 3322 Broadway, Everett, WA 98201-4425 | 2016-07-13 |
| 1568705044 | Holly Gonzales | Internal Medicine | 3601 The Vanderbilt Clinic, Nashville, TN 37232-2632 | 2013-04-02 |
| Street Address |
2323 W FRONT ST |
| City | TYLER |
| State | TX |
| Zip Code | 75702-7704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619967569 | Jan Lorenz | Nurse Practitioner | 2323 W Front St, Tyler, TX 75702-7704 | 2005-10-24 |
| 1982240776 | Pamela Summers | Nurse Practitioner | 2323 W Front St, Tyler, TX 75702-7747 | 2019-11-27 |
| 1154833713 | Cieja Chapman | Nurse Practitioner | 2323 W Front St, Tyler, TX 75702-7704 | 2017-11-03 |
| 1184159097 | Alex Park | Pharmacist | 2323 W Front St, Tyler, TX 75702-7704 | 2017-04-28 |
| 1548706815 | Mollie Eaton | Behavioral Analyst | 2323 W Front St, Tyler, TX 75702-7704 | 2017-01-11 |
| 1538604715 | Andrews Center -pinkerton | Social Worker | 2323 W Front St, Tyler, TX 75702-7704 | 2016-12-27 |
| 1609310150 | Rachel Massey | Behavioral Analyst | 2323 W Front St, Tyler, TX 75702-7704 | 2016-12-16 |
| 1871948992 | Alexandra Smith | Physician Assistant | 2323 W Front St, Tyler, TX 75702-7704 | 2016-04-26 |
| 1952773293 | Susan Blalock | Counselor | 2323 W Front St, Tyler, TX 75702-7704 | 2015-10-27 |
| 1851777148 | Andrews Center/drop In | Community Based Residential Treatment Facility, Mental Illness | 2323 W Front St, Tyler, TX 75702-7704 | 2015-08-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679116610 | Tiffiney Mcmakin | Nurse Practitioner | 810 E Houston St # 100, Tyler, TX 75702 | 2019-10-22 |
| 1659852507 | Krystal Gayle Lilley | Licensed Vocational Nurse | 100 E Ferguson St Ste 60a, Tyler, TX 75702 | 2018-08-28 |
| 1679029383 | Cynthia Lynn Kalawe | Physical Therapist | 100 E Ferguson, Suite 1204, Tyler, TX 75702 | 2016-09-01 |
| 1649623646 | Susan E Oxford | Social Worker | 13495 Frankston Highway, Tyler, TX 75702 | 2016-07-14 |
| 1053769281 | All Kidz Kan | Home Health | 2902 E Front St, Tyler, TX 75702 | 2016-05-27 |
| 1821415639 | Heather Mullins | Physical Therapy Assistant | 100 E. Ferguson Ste.1204, Tyler, TX 75702 | 2014-03-19 |
| 1346671336 | Dennis Keith Johnson | Dentist | 3081 Hwy. 31 East, Tyler, TX 75702 | 2013-12-02 |
| 1275882201 | Bobby Gibson | Counselor | 401 East Front Street, Ste 233, Tyler, TX 75702 | 2012-09-06 |
| 1144596792 | Tina Marie Borke | Clinical Neuropsychologist | 719 West Front St., Tyler, TX 75702 | 2012-03-28 |
| 1457629529 | James Whaley Rapp | Specialist/Technologist | 430 South Beckham Avenue, Trinity Mother Frances Sports Medicine, Tyler, TX 75702 | 2011-12-05 |
| Find all providers in zip 75702 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| 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. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033733399 | Kathryn Sue Campbell | Speech-Language Pathologist | 1600 Rice Rd Apt 1421, Tyler, TX 75703-3309 | 2020-06-02 |
| 1770117848 | Rebecca C Taylor | Speech-Language Pathologist | 5619 Bostick Dr, Tyler, TX 75707-2022 | 2020-02-27 |
| 1083261952 | Speech Swallowing and Neurological Rehabilitation Pllc | Speech-Language Pathologist | 117 Alpine Dr, Tyler, TX 75701-7002 | 2019-08-24 |
| 1356909519 | Kaylene Rose Mesecher | Speech-Language Pathologist | 2051 W Cumberland Rd Apt 607, Tyler, TX 75703-7852 | 2019-06-03 |
| 1831679729 | Jennifer Christine Zapata | Speech-Language Pathologist | 17521 Highway 69 S Ste 120, Tyler, TX 75703-5596 | 2018-08-20 |
| 1821578402 | Morgan Beckmon | Speech-Language Pathologist | 2801 Calloway Rd Apt 912, Tyler, TX 75707-1558 | 2018-08-14 |
| 1528556131 | Kimberly Marcum | Speech-Language Pathologist | 921 Shiloh Rd # C120t, Tyler, TX 75703-1431 | 2018-04-29 |
| 1427570084 | Darah Lynne Dahlem | Speech-Language Pathologist | 401 E. Front Street Ste 123, Tyler, TX 75703 | 2017-07-14 |
| 1982132981 | Whittle Services LLC | Speech-Language Pathologist | 1609 Southpoint Dr, Tyler, TX 75701-4548 | 2017-06-02 |
| 1609239995 | Ebbonye Whittle | Speech-Language Pathologist | 100 E. Ferguson, Suite 1204, Tyler, TX 75701 | 2016-04-04 |
| Find all providers in TYLER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.