| Gonzales Psychological Services, Inc | |
|
6851 Lennox Ave Suite 100 Van Nuys CA 91405-4073 | |
| (818) 900-4167 | |
| Not Available |
| Full Name | Gonzales Psychological Services, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 6851 Lennox Ave, Van Nuys, California |
| Authorized Official Name and Position | Ornella Gonzales (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 8189004167 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gonzales Psychological Services, Inc 6400 Monterey Rd Los Angeles CA 90042-4335 Ph: (818) 900-4167 | Gonzales Psychological Services, Inc 6851 Lennox Ave Suite 100 Van Nuys CA 91405-4073 Ph: (818) 900-4167 |
| NPI Number | 1962853523 |
|---|---|
| Provider Enumeration Date | 06/24/2016 |
| Last Update Date | 06/24/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962853523 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | PSY27652 (California) | Primary |
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