Individual
DR. WENDY GONZALEZ-CANAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
159 2ND ST APT 308, JERSEY CITY, NJ 07302-3050
(941) 258-0137
Mailing address
159 2ND ST APT 308, JERSEY CITY, NJ 07302-3050
(941) 258-0137
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
024124
NY
103TC1900X
Counseling Psychologist
024124
NY
103TP2701X
Group Psychotherapy Psychologist
024124
NY
Other
Enumeration date
03/01/2021
Last updated
06/08/2022
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