Individual
DR. KETTY PATINO GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
5915 PONCE DE LEON BLVD STE 49, CORAL GABLES, FL 33146-2435
(305) 668-0355
Mailing address
5915 PONCE DE LEON BLVD STE 49, CORAL GABLES, FL 33146-2435
(305) 668-0355
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
PY0005873
FL
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PY0005873
FL
Other
Enumeration date
07/03/2007
Last updated
09/11/2025
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