JACQUELYN GONZALEZ NPI 1164061917

NPI Information

  • NPI: 1164061917
  • Provider Name: JACQUELYN GONZALEZ
  • Classification: Specialist/Technologist - 2355S0801X
  • Specialization: Speech-Language Assistant
  • Entity Type: Individual
  • Address: 700 E BRAVO BLVD STE D
    ROMA, TX
    ZIP 78584
  • Phone: (956) 849-1818

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NPI Details

Jacquelyn Gonzalez is a speech-language assistant specialist technologist in Roma, TX. Jacquelyn Gonzalez NPI is 1164061917. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

700 E BRAVO BLVD STE D
ROMA, TX
ZIP 78584-741
Phone: (956) 849-1818

The enumeration date for this NPI number is 12/26/2019 and was last updated on 12/26/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12355S0801XSpecialist/TechnologistSpeech-Language Assistant40772TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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