Most Relevant Information
Provider Data
| NPI Number: | 1003275744 |
| Provider Name: | ALEXANDRA MARIE GOMEZ MS, CCC-SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | LL60601409 |
Most Important Dates
| Enumeration Date: | 02/22/2016 |
| Last Updated: | 02/22/2016 |
Provider Practice Location
1417 116TH AVE NE
SUITE 110
BELLEVUE
WA
980043821
Practice Location Phone/Fax
| Phone: | 4256885900 |
| Fax: | 4256885912 |
Provider Mailing Location
1417 116TH AVE NE
SUITE 110
BELLEVUE
WA
980043821
Provider Mailing Phone/Fax
| Phone: | 4256885900 |
| Fax: | 4256885912 |