Individual
DR. JAIME GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
MADIGAN ARMY MEDICAL CENTER, 9040 JACKSON AVE, TACOMA, WA 98531
(253) 968-4849
(253) 968-3731
Mailing address
MADIGAN ARMY MEDICAL CENTER JOINT BASE LEWIS-MCCHORD, TACOMA, WA 98431-1100
(253) 968-4849
(253) 968-3731
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP5426
MN
103TC0700X
Clinical Psychologist
PY60778412
WA
Other
Enumeration date
05/20/2010
Last updated
02/21/2019
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