Individual
DR. OSVELIA GONZALEZ DEEDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2580 HIGHWAY 95 STE 213G, BULLHEAD CITY, AZ 86442-7331
(505) 850-5314
(928) 438-2037
Mailing address
PO BOX 62384, BOULDER CITY, NV 89006-2384
(505) 850-5314
(928) 438-2037
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
1095
NM
103TC0700X
Clinical Psychologist
Primary
4693
AZ
103TC0700X
Clinical Psychologist
PY7898
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
099268
—
AZ
05
—
17031124823
—
NM
01
—
Z185237
MEDICARE PTAN
AZ
Enumeration date
10/04/2009
Last updated
12/30/2024
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