| Camille Gonzales, MA CCC-SLP | |
|
344 E Suni Dr, Dededo, GU 96929-5921 | |
| (671) 787-0525 | |
| Not Available |
| Full Name | Camille Gonzales |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 344 E Suni Dr, Dededo, Guam |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568216752 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | SLP-106 (Guam) | Primary |
| Provider Name | Guam Healthcare Development Incorporated |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1326447939 PECOS PAC ID: 9234351776 Enrollment ID: O20150326000266 |
| Mailing Address | Practice Location Address |
|---|---|
| Camille Gonzales, MA CCC-SLP 344 E Suni Dr, Dededo, GU 96929-5921 Ph: () - | Camille Gonzales, MA CCC-SLP 344 E Suni Dr, Dededo, GU 96929-5921 Ph: (671) 787-0525 |
Mrs. Christina Nicole Coles, MA, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 133 Route 3, Dededo, GU 96929 Phone: 671-645-5500 | |
Regina Day, CCC/SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 133 Route 3, Dededo, GU 96929 Phone: 671-645-5500 | |
Michelle Eley, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 133 Route 3, Dededo, GU 96929 Phone: 828-230-0556 |