Individual
SARA E GONZALEZ RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
345 SMITH AVE N, SAINT PAUL, MN 55102
(651) 220-6720
Mailing address
345 SMITH AVE N, SAINT PAUL, MN 55102-2346
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
470398819
—
NE
Enumeration date
08/15/2016
Last updated
07/23/2019
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