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Organization

GUILLERMO E GONZALEZ JR PHD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GUILLERMO E. GONZALEZ JR. PHD (PSYCHOLOGIST)
(956) 722-3000
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary

Other

Enumeration date
07/10/2009
Last updated
04/03/2015
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