Individual
DR. DANIEL SULLIVAN GONZALES
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
417 N MAIN ST, SUITE C1, SALISBURY, NC 28144
(704) 636-9550
(704) 636-5865
Mailing address
417 N MAIN ST, SUITE C1, SALISBURY, NC 28144
(704) 636-9550
(704) 636-5865
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1579
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6888408
—
NC
Enumeration date
06/04/2006
Last updated
07/08/2007
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