Individual
DR. VIVIAN D.J. GONZALEZ-DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3271 NW 7TH ST, SUITE #203, MIAMI, FL 33125-4141
(786) 220-6902
(866) 726-0526
Mailing address
PO BOX 347604, CORAL GABLES, FL 33234-7604
(305) 984-8422
(305) 836-4722
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PY5395
FL
103K00000X
Behavior Analyst
—
—
103TC0700X
Clinical Psychologist
PY5395
FL
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PY5395
PSYCHOLOGIST LICENSE#
FL
Enumeration date
07/31/2006
Last updated
07/02/2024
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