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Provider Information for 1003275744

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

ALEXANDRA MARIE GOMEZ MS, CCC-SLP

Gender: FEMALE

Individual NPI: 1003275744

Calendar   Last Updated:  2016-02-22
  Certification Date: 

Details

Name Value
NPI 1003275744
Enumeration Date 2016-02-22
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 1417 116TH AVE NE SUITE 110
BELLEVUE, WA 98004-3821
United States

Phone: 425-688-5900 | Fax: 425-688-5912
View Map External Link
Primary Practice Address 1417 116TH AVE NE SUITE 110
BELLEVUE, WA 98004-3821
United States

Phone: 425-688-5900 | Fax: 425-688-5912
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 235Z00000X - Speech-Language Pathologist WA LL60601409