Individual
DR. GABRIELLA STEPHANIE GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1283 KELLY JOHNSON BLVD STE 200, COLORADO SPRINGS, CO 80920-3925
(719) 413-6776
Mailing address
1283 KELLY JOHNSON BLVD STE 200, COLORADO SPRINGS, CO 80920-3925
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PSY.0005011
CO
103TC0700X
Clinical Psychologist
PSY.0005011
CO
Other
Enumeration date
05/16/2023
Last updated
05/17/2023
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