Organization
GONZALES PSYCHOLOGICAL SERVICES, INC
Active
Organization
GONZALES PSYCHOLOGICAL SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ORNELLA GONZALES PSY.D. (CLINICAL PSYCHOLOGIST)
(818) 900-4167
Entity
Organization
Contact information
Practice address
6851 LENNOX AVE, SUITE 100, VAN NUYS, CA 91405-4073
(818) 900-4167
Mailing address
6400 MONTEREY RD, LOS ANGELES, CA 90042-4335
(818) 900-4167
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
PSY27652
CA
Other
Enumeration date
06/24/2016
Last updated
06/24/2016
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