Provider Demographics
NPI:1720874944
Name:GAMEZ, CAROLINA ANDREA (MS, CF-SLP)
Entity type:Individual
Prefix:
First Name:CAROLINA
Middle Name:ANDREA
Last Name:GAMEZ
Suffix:
Gender:
Credentials:MS, CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11600 LARCH VALLEY DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78754-5832
Mailing Address - Country:US
Mailing Address - Phone:512-809-3896
Mailing Address - Fax:
Practice Address - Street 1:8004 CAMERON RD
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78754-3808
Practice Address - Country:US
Practice Address - Phone:512-501-3911
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-15
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX122580235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist