National Provider Identifier Database

SUOMI L GANDARA, SLP-A – NPI #1295065480
Audiology Assistant


Contact Information

SUOMI L GANDARA, SLP-A
5316 TRAIL LAKE DR
FORT WORTH, TX76133-1931
Phone: 817-292-8787
Fax: 817-789-6849
Website:
Specialty Taxonomy Code
* Audiology Assistant 2355A2700X

* Indicates primary specialty

NPI Profile & details for SUOMI L GANDARA

NPI Number 1295065480
Credentials SLP-A
Entity Individual
Enumeration date 01/11/2010
Last updated 01/11/2010 - About 16 years ago
Sole proprietor1 No
Identifiers
  • TX License #: 35232
  • TX Medicaid: 149984001
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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