Individual provider · Type 1 NPI

Itza Marie Nieves Gonzalez

Speech-Language Assistant · Lake Wales, FL

NPI number 1083579270 Active

Practice location

427 Burns Ave
Lake Wales, FL 33853-3314

Call (863) 679-3338 Map

Mailing address

427 Rooks Loop
Haines City, FL 33844-3425

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Assistant Primary 2355S0801XSI7690 (FL)

Speech-Language Assistant: Definition to come...

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About NPI 1083579270

Itza Marie Nieves Gonzalez's National Provider Identifier is 1083579270, issued on Dec 19, 2025. The primary taxonomy on file is Speech-Language Assistant (2355S0801X), and the practice location is in Lake Wales, FL. The record was last updated on Dec 19, 2025.