Mrs Jessica Nicole Gonzales, CCC-SLP is a
Speech-language Pathologist based in Denver City, Texas. Mrs Jessica Nicole Gonzales is licensed to practice in Texas (license number 121590) and her current practice location is
205 S Soland Ave, Denver City, Texas. She can be reached at her office (for appointments etc.) via phone at
(432) 258-4941.
NPI number for Mrs Jessica Nicole Gonzales is 1275402430 and her current mailing address is 611 N Tom Green Ave, Odessa, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1275402430.
Healthcare Provider's Profile
| Full Name | Mrs Jessica Nicole Gonzales |
|---|
| Gender | Female |
|---|
| Speciality | Speech-language Pathologist |
|---|
| Location | 205 S Soland Ave, Denver City, Texas |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1275402430
- Provider Enumeration Date: 11/04/2025
- Last Update Date: 11/04/2025
Medical Identifiers
Medical identifiers for Mrs Jessica Nicole Gonzales such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1275402430 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 235Z00000X | Speech-language Pathologist | 121590 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Jessica Nicole Gonzales is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Mrs Jessica Nicole Gonzales, CCC-SLP 611 N Tom Green Ave, Odessa, TX 79761-4525 Ph: (432) 258-4941 | Mrs Jessica Nicole Gonzales, CCC-SLP 205 S Soland Ave, Denver City, TX 79323-3767 Ph: (432) 258-4941 |
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