Corey Stephen Gonzales in Bakersfield - Clinical
Corey Stephen Gonzales - NPI 1700079316
Corey Stephen Gonzales is a Clinical in Bakersfield, California. Corey Stephen Gonzales practices all healthcare services and medical treatments related to Clinical. The NPI Number for Corey Stephen Gonzales is 1700079316. The last update date is 2018-12-07.
Corey Stephen Gonzales's current location address is 5001 E Commercecenter Dr Ste 255, Bakersfield, California. You can contact this provider via phone number 6613232108. The mailing address for Corey Stephen Gonzales is 5001 E Commercecenter Dr Ste 255, Bakersfield, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Corey Stephen Gonzales |
|---|---|
| Address | 5001 E Commercecenter Dr Ste 255, Bakersfield, California |
| Phone Number | 6613232108 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1700079316 |
|---|---|
| Provider Enumeration Date | 2007-08-27 |
| Last Updated Date | 2018-12-07 |
Provider Mailing Address Detail
| Address | 5001 E Commercecenter Dr Ste 255 |
|---|---|
| City | Bakersfield |
| State | California (CA) |
| Post Code | 93309 |
| Phone Number | 6613232108 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY 14557 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the unique 10-digit identifier code issued to Corey Stephen Gonzales by the Centers for Medicare & Medicaid Services?
The Corey Stephen Gonzales has been assigned the NPI (National Provider Identifier) 1700079316 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Corey Stephen Gonzales's facilities are geographically located?
The facilities of Corey Stephen Gonzales are physically situated at the following location: 5001 E Commercecenter Dr Ste 255, Bakersfield, CA, 93309.
What is the Corey Stephen Gonzales's specialty and taxonomy code?
The Corey Stephen Gonzales's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.
On what date did the Corey Stephen Gonzales receive its 1700079316 assignment from the Centers for Medicare & Medicaid Services?
The Corey Stephen Gonzales was assigned its 1700079316 by the Centers for Medicare & Medicaid Services on 2007-08-27.
When was the information regarding Corey Stephen Gonzales most recently updated?
The details pertaining to the Corey Stephen Gonzales, including its address, specialty, and other relevant information, were last refreshed on 2018-12-07.
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