Individual
DR. JONNI L GONSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
10293 N MERIDIAN ST, SUITE 375, INDIANAPOLIS, IN 46290-1123
(317) 581-2288
(317) 581-2295
Mailing address
10293 N MERIDIAN ST, SUITE 375, INDIANAPOLIS, IN 46290-1123
(317) 581-2288
(317) 581-2295
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20040175
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100228960A
—
IN
Enumeration date
08/01/2006
Last updated
03/26/2009
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