MRS. SHANNON SUSANNE GONZALEZ (NPI# 1336266261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1336266261 |
Entity Type | Individual |
Full Name | MRS. SHANNON SUSANNE GONZALEZ |
Credential | M.A., CCC-SLP |
Practice Address |
215 Cresent Dr Forsyth GA 31029-5466 |
Practice Telephone | 4782134604 |
Practice Fax Number | 4789932035 |
Mailing Telephone | 4782134604 |
Mailing Fax Number | 4789932035 |
Enumeration Date | 2007-03-24 |
Last Update Date | 2019-09-06 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 235Z00000X | Speech-Language Pathologist | SLP005082 | GA | Speech, Language and Hearing Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | 000913844E | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
5243 Riverside Dr, 2203, Macon, GA 312108803 | 4782134604 | 4782577752 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093133712 | Shannon Gonzalez | Chiropractor | 1035 Riverside Ave, Jacksonville, FL 32204-4122 | 2014-03-31 |
1467709113 | Shannon Gonzalez | Counselor | 668 Poors Ford Rd, Rutherfordton, NC 28139-9208 | 2012-08-13 |
1043433550 | Shannon Gonzalez | Nurse's Aide | 501 Market St Ste 2, Lewisburg, PA 17837-3002 | 2007-04-11 |
Street Address |
215 CRESENT DR |
City | FORSYTH |
State | GA |
Zip Code | 31029-5466 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790176865 | Speechworks 4 Kids, LLC | Speech-Language Pathologist | 215 Cresent Dr, Forsyth, GA 31029 | 2015-02-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699836833 | River Edge Behavioral Health Center | Community/Behavioral Health | 101 Willis Wilder Drive, Forsyth, GA 31029 | 2006-12-12 |
1497840821 | Castleberry Drug Company, LLC | Pharmacist | 67 N. Lee St, Forsyth, GA 31029 | 2006-10-03 |
1437168853 | Mclendon Pt Services LLC | Physical Therapist | 320 Lee King Rd, Forsyth, GA 31029 | 2006-08-05 |
1831168905 | Patton P Smith | Family Medicine | 90-a Martin Luther King Jr Drive, Forsyth, GA 31029 | 2006-03-14 |
1124504782 | Kenneth Wayne Waddell Jr. | Nurse Practitioner | 120 N Lee St Ste A, Forsyth, GA 31029 | 2018-07-17 |
1316988645 | Sarah Elizabeth Conklin | Nurse Practitioner | 90-a Martin Luther King Jr. Drive, Forsyth, GA 31029-0000 | 2006-06-09 |
1801981592 | Craig Caldwell | Internal Medicine | 97 Martin Luther King Jr Dr, Forsyth, GA 31029-1648 | 2006-10-04 |
1518079326 | Bio-medical Applications of Georgia, Inc. | Clinic/Center | 91 Martin Luther King Jr Dr, Forsyth, GA 31029-1648 | 2006-08-31 |
1427160191 | Tammy Lynn Barnett | Nurse Practitioner | 97 Martin Luther King Jr. Dr., Forsyth, GA 31029-1648 | 2006-08-31 |
1043696172 | Elizabeth Goodwin | Nurse Practitioner | 97 Martin Luther King Jr Dr, Forsyth, GA 31029-1648 | 2015-07-30 |
Find all providers in zip 31029 |
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 |
---|---|---|---|---|
1275037160 | Allison Merrell | Speech-Language Pathologist | 178 Panther St, Forsyth, MO 65653-5387 | 2018-03-23 |
1205355971 | Rachel Aupperle | Speech-Language Pathologist | 641 E Shafer St, Forsyth, IL 62535-9401 | 2017-09-14 |
1326598178 | Erin Donat | Speech-Language Pathologist | 189 Pierce Pl, Forsyth, MO 65653-9210 | 2016-10-05 |
1134674351 | Cynthia Marie Lewis | Speech-Language Pathologist | 825 Stevens Creek Ln, Forsyth, IL 62535-9712 | 2016-08-17 |
1114163102 | Darla J. Monholland | Speech-Language Pathologist | 178 Panther Rd., Forsyth, MO 65653 | 2008-12-23 |
1104488683 | Elizabeth Hardy | Speech-Language Pathologist | 120 N Lee St Ste E, Forsyth, GA 31029-2122 | 2019-07-03 |
1790176865 | Speechworks 4 Kids, LLC | Speech-Language Pathologist | 215 Cresent Dr, Forsyth, GA 31029 | 2015-02-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801496484 | Tracey Samet Grant | Speech-Language Pathologist | 660 Glenairy Dr, Sandy Springs, GA 30328-4215 | 2020-10-31 |
1386242147 | Busy Little Bee Speech Therapy | Speech-Language Pathologist | 2 Parmenter St, Cartersville, GA 30120-2569 | 2020-10-14 |
1033717749 | Sullivan Mccallon Friedrich | Speech-Language Pathologist | 413 W Montgomery Cross Rd, Savannah, GA 31406-3364 | 2020-10-14 |
1235737313 | Morgan Wojcik | Speech-Language Pathologist | 1777 N East Expy Ne Ste 120, Brookhaven, GA 30329-2475 | 2020-10-12 |
1699372953 | Sarah Elise Vaughn | Speech-Language Pathologist | 925 Osburn Rd, Chickamauga, GA 30707-2847 | 2020-10-08 |
1871190561 | Brian Tye | Speech-Language Pathologist | 1168 Chulio Rd Se, Rome, GA 30161-4084 | 2020-10-06 |
1538766761 | Camille Steiden | Speech-Language Pathologist | 300 W Wieuca Rd Ne Ste 200, Atlanta, GA 30342-3352 | 2020-10-01 |
1689281032 | Chit Chat Pediatric Therapy LLC | Speech-Language Pathologist | 97 Carter St, Soperton, GA 30457-2752 | 2020-09-29 |
1962019893 | Miriam Beth Rosenberg | Speech-Language Pathologist | 3843 Sweet Magnolia Dr, Gainesville, GA 30504-5949 | 2020-09-24 |
1093320244 | Brittany Jamison | Speech-Language Pathologist | 180 Horizon Drive, Dahlonega, GA 30533 | 2020-09-14 |
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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.