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Organization
PATHWAYS PSYCHOLOGICAL CENTER, INC
Active
Organization
PATHWAYS PSYCHOLOGICAL CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TANIA MARIE GONZALEZ PH.D. (LICENSED CLINICAL PSYCHOLOGIST)
(209) 722-1707
Entity
Organization
Contact information
Practice address
1180 W OLIVE AVE, SUITE G, MERCED, CA 95348-1900
(209) 722-1707
Mailing address
1350B E PACHECO BLVD # 122, LOS BANOS, CA 93635-4938
(209) 722-1707
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY20834
CA
Other
Enumeration date
07/13/2012
Last updated
07/13/2012
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