Individual
DR. ELIZABETH ORTIZ GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
120 E BEAUREGARD AVE, SAN ANGELO, TX 76903-5919
(325) 653-6741
(325) 747-2525
Mailing address
120 E BEAUREGARD AVE, SAN ANGELO, TX 76903-5919
(806) 730-9075
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
38868
TX
103TB0200X
Cognitive & Behavioral Psychologist
38868
TX
103TC0700X
Clinical Psychologist
38868
TX
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
38868
TX
Other
Enumeration date
10/01/2021
Last updated
10/01/2021
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