Individual
DR. JANICE C GONZALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
805 DESERT FLOWER BLVD, PUEBLO, CO 81001-1146
(719) 540-2183
Mailing address
805 DESERT FLOWER BLVD, PUEBLO, CO 81001-1146
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY4196
CO
103TF0200X
Forensic Psychologist
0004196
CO
Other
Enumeration date
01/16/2020
Last updated
08/18/2022
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