# GUILLERMO E GONZALEZ JR PHD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013146091
- **Authorized official:** DR. GUILLERMO E. GONZALEZ JR. PHD (PSYCHOLOGIST)
- **Authorized official phone:** (956) 722-3000

## Contact information

- **Practice address:** 6826 SPRINGFIELD AVE, SUITE 103A, LAREDO, TX 78041-2213
- **Practice address phone:** (956) 722-3000
- **Mailing address:** 6826 SPRINGFIELD AVE, SUITE 103A, LAREDO, TX 78041-2213
- **Mailing address phone:** (956) 722-3000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0850X | Adult Mental Health Clinic/Center | — | NULL | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/10/2009
- **Last updated:** 04/03/2015