Individual
RAUL GONZALEZ
Active
Individual
RAUL GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
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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