Provider Demographics
NPI:1609677459
Name:GAMEZ, ARLETT GUADALUPE
Entity type:Individual
Prefix:
First Name:ARLETT
Middle Name:GUADALUPE
Last Name:GAMEZ
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:925 KORALLA CT
Mailing Address - Street 2:
Mailing Address - City:GALT
Mailing Address - State:CA
Mailing Address - Zip Code:95632-3408
Mailing Address - Country:US
Mailing Address - Phone:209-251-5920
Mailing Address - Fax:
Practice Address - Street 1:1812 W KETTLEMAN LN STE 1
Practice Address - Street 2:
Practice Address - City:LODI
Practice Address - State:CA
Practice Address - Zip Code:95242-4209
Practice Address - Country:US
Practice Address - Phone:209-683-3427
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-19
Last Update Date:2025-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20152235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist