Individual
LIANNE GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
4175 W 20TH AVE, HIALEAH, FL 33012-5874
(305) 825-0300
Mailing address
2711 SW 98TH AVE, MIAMI, FL 33165-2620
(305) 494-8934
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY8865
FL
Other
Enumeration date
10/02/2013
Last updated
10/02/2013
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