Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Tamara Gonzalez, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1457174047

Tamara Gonzalez, CCC-SLP is a Speech-Language Pathologist in Saint Augustine, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2024
What do these letters mean?
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

340 Varner Way
Saint Augustine, FL 32092-3374
Phone: (415) 336-6123
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence SA22960 (FL)

Record details

NPI number1457174047
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-SLP
Sole proprietorYes
NPI enumeratedNovember 4, 2024
Last updated in NPPESNovember 4, 2024
Certification dateNovember 4, 2024
Mailing address340 Varner Way, Saint Augustine, FL 32092-3374

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