Organization
MARICELA P. GONZALES, PH.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARICELA PEREZ GONZALES PH.D. (PSYCHOLOGIST)
(830) 591-1800
Entity
Organization
Contact information
Practice address
819 N HIGH ST, UVALDE, TX 78801-4354
(830) 591-1800
(830) 591-1800
Mailing address
819 N HIGH ST, UVALDE, TX 78801-4354
(830) 591-1800
(830) 591-1800
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
33255
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
187769801
—
TX
Enumeration date
12/02/2010
Last updated
12/02/2010
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