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Individual

DR. GUILLERMO ERNESTO GONZALEZ JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D

Contact information

Practice address
6826 SPRINGFIELD AVE, STE. 103A, LAREDO, TX 78041-2213
(956) 722-3000
(956) 729-1947
Mailing address
6826 SPRINGFIELD AVE, STE. 103A, LAREDO, TX 78041-2213
(956) 722-3000
(956) 729-1947

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
23844
TX
103TS0200X
School Psychologist
6198
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0334237-01
TX
Enumeration date
11/28/2006
Last updated
10/27/2013
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