Individual
ISIS IVETTE GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7875 NW 12TH ST STE 110, DORAL, FL 33126-1815
(786) 269-3502
Mailing address
7875 NW 12TH ST STE 110, DORAL, FL 33126-1815
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
Other
Enumeration date
02/17/2023
Last updated
02/17/2023
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