Individual
DR. MANUEL ANTHONY CARL GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
2817 ROCK MERRITT AVENUE, FORT BRAGG, NC 28310-2229
(910) 907-8922
(910) 907-6069
Mailing address
2817 ROCK MERRITT AVENUE WOMACK ARMY MEDICAL CENTER, FORT BRAGG, NC 28310-0001
(910) 907-8922
(910) 907-6069
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
0810006462
VA
103TC0700X
Clinical Psychologist
Primary
PY 60414394
WA
Other
Enumeration date
05/29/2007
Last updated
03/25/2025
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