Provider Demographics
NPI:1275413262
Name:FURTADO-GOMES, SUE-ALLENE
Entity type:Individual
Prefix:
First Name:SUE-ALLENE
Middle Name:
Last Name:FURTADO-GOMES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1104 SCENIC HILLS DR
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75071-4664
Mailing Address - Country:US
Mailing Address - Phone:714-925-9793
Mailing Address - Fax:
Practice Address - Street 1:1104 SCENIC HILLS DR
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75071-4664
Practice Address - Country:US
Practice Address - Phone:714-925-9793
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-03
Last Update Date:2025-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MESAS44602355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant