Provider Demographics
NPI:1033097662
Name:PRATKA, GABRIELLE WENSKE (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:GABRIELLE
Middle Name:WENSKE
Last Name:PRATKA
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 BERKSHIRE LN
Mailing Address - Street 2:
Mailing Address - City:VICTORIA
Mailing Address - State:TX
Mailing Address - Zip Code:77904-1772
Mailing Address - Country:US
Mailing Address - Phone:361-649-6489
Mailing Address - Fax:
Practice Address - Street 1:205 BERKSHIRE LN
Practice Address - Street 2:
Practice Address - City:VICTORIA
Practice Address - State:TX
Practice Address - Zip Code:77904-1772
Practice Address - Country:US
Practice Address - Phone:361-649-6489
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-22
Last Update Date:2025-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX122105235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist