Individual ProviderKendra Michelle GonzalezSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address225 E Sonterra Blvd Ste 120, San Antonio, TX 78258-3993(210) 495-9944PECOS EnrollmentBased on the most recent information from CMS, provider Kendra Michelle Gonzalez does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1669003620Provider TypeIndividualFull NameGonzalez, Kendra MichelleCredentialSLPGenderFemaleSole ProprietorNoEnumeration Date1/29/2020Last Updated1/29/2020Contact InformationPractice LocationPractice Address225 E Sonterra Blvd Ste 120, San Antonio, TX 78258-3993Phone(210) 495-9944Fax(210) 495-9944Mailing LocationMailing Address225 E Sonterra Blvd Ste 120, San Antonio, TX 78258-3993Phone(210) 495-9944Fax(210) 495-2540Provider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicense113701Texas