Individual
ROSE E. GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1204 W MAIN ST, CHARLOTTESVILLE, VA 22903-2824
(434) 924-0123
(434) 243-3300
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
0810000348
VA
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
0810000348
VA
Other
Enumeration date
07/30/2008
Last updated
08/12/2019
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