Individual
BRENDA L GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
7364 SEAFARER PL, CARLSBAD, CA 92011-4672
(312) 451-8633
Mailing address
7364 SEAFARER PL, CARLSBAD, CA 92011-4672
(312) 451-8633
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
31708
CA
Other
Enumeration date
03/28/2020
Last updated
03/28/2020
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