| Mrs Connie Marie Gonzalez, MSCCC-SLP | |
|
127 Carter St, Richmond Hill, GA 31324-3753 | |
| (912) 756-6131 | |
| Not Available |
| Full Name | Mrs Connie Marie Gonzalez |
|---|---|
| Gender | Female |
| Speciality | Qualified Speech Language Pathologist |
| Experience | 20 Years |
| Location | 127 Carter St, Richmond Hill, Georgia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083955397 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | SLP007167 (Georgia) | Secondary |
| 235Z00000X | Speech-language Pathologist | 10913 (Arizona) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Empowerme Rehabilitation Llc | 2769723162 | 419 |
| Provider Name | Empowerme Rehabilitation Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1144954074 PECOS PAC ID: 2769723162 Enrollment ID: O20230127000420 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Connie Marie Gonzalez, MSCCC-SLP 11053 E Tripoli Ave, Mesa, AZ 85212-8562 Ph: (321) 228-6785 | Mrs Connie Marie Gonzalez, MSCCC-SLP 127 Carter St, Richmond Hill, GA 31324-3753 Ph: (912) 756-6131 |
Gabriela Canamucio, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2453 Us Highway 17 Ste G, Richmond Hill, GA 31324 Phone: 912-445-5612 | |
Ricki Botsford, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2453 Us Highway 17, Richmond Hill, GA 31324 Phone: 912-445-5612 | |
Mrs. Megan Nicole Wheeler, CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 128 Frances Meeks Way, Suite 9, Richmond Hill, GA 31324 Phone: 912-727-2321 Fax: 912-445-0599 | |
Ms. Valerie Celeste Parsons, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 128 Frances Meeks Way Ste 9, Richmond Hill, GA 31324 Phone: 912-727-2321 Fax: 912-445-0599 | |
Scholar Rehab Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 128 Frances Meeks Way Ste 9, Richmond Hill, GA 31324 Phone: 912-507-3919 | |
Melanie Hicks Tillman, M.A., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 128 Frances Meeks Way, Suite 9, Richmond Hill, GA 31324 Phone: 912-727-2321 |