Individual
JOSE MANUEL GONZALEZ VERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
1525 N 200 W, LOGAN, UT 84341-2032
(435) 932-8880
Mailing address
1525 N 200 W, LOGAN, UT 84341-2032
(435) 932-8880
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
02/15/2023
Last updated
02/15/2023
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