Individual
RAUL GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
11200 SW 8TH ST, AHC4 - 461, MIAMI, FL 33199-2516
(305) 348-4921
Mailing address
11200 SW 8TH ST, AHC4 - 461, MIAMI, FL 33199-2516
(305) 348-4921
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PY9043
FL
103T00000X
Psychologist
PY9043
FL
103TA0400X
Addiction (Substance Use Disorder) Psychologist
PY9043
FL
103TB0200X
Cognitive & Behavioral Psychologist
PY9043
FL
103TC0700X
Clinical Psychologist
PY9043
FL
103TC2200X
Clinical Child & Adolescent Psychologist
PY9043
FL
103TM1800X
Intellectual & Developmental Disabilities Psychologist
PY9043
FL
Other
Enumeration date
11/28/2006
Last updated
09/23/2015
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