Individual
MRS. DIANA PATRICIA GONZALEZ-EASTEP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
11602 NW 69TH TER, DORAL, FL 33178-5541
(617) 869-1933
Mailing address
11602 NW 69TH TER, DORAL, FL 33178-5541
(617) 869-1933
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
9269
MA
103TC1900X
Counseling Psychologist
Primary
PY 8351
FL
Other
Enumeration date
08/18/2008
Last updated
08/29/2011
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