Provider Demographics
NPI:1023790912
Name:GONZALEZ, VALERIA (AUD)
Entity type:Individual
Prefix:
First Name:VALERIA
Middle Name:
Last Name:GONZALEZ
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2405 WOODARD RD APT 211
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95124-2659
Mailing Address - Country:US
Mailing Address - Phone:805-765-7861
Mailing Address - Fax:
Practice Address - Street 1:2405 WOODARD RD APT 211
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95124-2659
Practice Address - Country:US
Practice Address - Phone:805-765-7861
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-01
Last Update Date:2025-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA3911231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist