Individual
JUDITH R GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY. D.
Contact information
Practice address
1436 W HOVEY ST, SPRINGFIELD, MO 65802-1509
(417) 576-3621
(417) 887-8706
Mailing address
5261 S HAZEL DR, SPRINGFIELD, MO 65810-2870
(417) 887-8707
(417) 887-8706
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2006029906
MO
Other
Enumeration date
10/23/2006
Last updated
03/18/2023
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