Victor Gonzalez in Woodstock - Clinical Child & Adolescent
Victor Gonzalez - NPI 1689861387
Victor Gonzalez is a Clinical Child & Adolescent in Woodstock, Georgia. Victor Gonzalez practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Victor Gonzalez is 1689861387. The last update date is 2011-11-04.
Victor Gonzalez's current location address is 3380 Trickum Rd, Woodstock, Georgia. You can contact this provider via phone number 7709249700 and fax number 7709260690. The mailing address for Victor Gonzalez is 3380 Trickum Rd, Woodstock, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Victor Gonzalez |
|---|---|
| Address | 3380 Trickum Rd, Woodstock, Georgia |
| Phone Number | 7709249700 |
| Fax Number | 7709260690 |
| Sole Proprietor | Y |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1689861387 |
|---|---|
| Provider Enumeration Date | 2007-09-27 |
| Last Updated Date | 2011-11-04 |
Provider Mailing Address Detail
| Address | 3380 Trickum Rd |
|---|---|
| City | Woodstock |
| State | Georgia (GA) |
| Post Code | 301883680 |
| Phone Number | 7709249700 |
| Fax Number | 7709260690 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Child & Adolescent |
|---|---|
| Taxonomy | 103Tc2200X |
| Licence No | PSY002448 |
|
Definition: A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 000913646A | GA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Victor Gonzalez?
The Victor Gonzalez has been issued the NPI (National Provider Identifier) 1689861387 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Victor Gonzalez's facilities are situated?
The facilities of Victor Gonzalez are physically located at the following address: 3380 Trickum Rd, Woodstock, GA, 301883680.
What is Victor Gonzalez's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Victor Gonzalez is Clinical Child & Adolescent, and the taxonomy code that classifies this field of practice is 103Tc2200X.
When did Victor Gonzalez receive its 1689861387 assignment?
The Victor Gonzalez was assigned its 1689861387 on 2007-09-27, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Victor Gonzalez most recently updated or revised?
The details related to Victor Gonzalez, including its address, specialty, and other relevant information, were last updated or revised on 2011-11-04.
Address: Po Box 2333, Clay, NY
Address: 11541 County Road 1, Fairhope, AL
Address: 5557 Carys Brook Ln, Gloucester, VA
Address: Po Box 2356, Guerneville, CA
Address: 176 Barnwood Dr, Edgewood, KY
Address: 1224 10th St, Coronado, CA
Address: 1259 S Cedar Crest Blvd, Allentown, PA
Address: 1438 W 38th St, Erie, PA
Address: Po Box 491000, Leesburg, FL
Address: 848 W Kings Hwy, Coatesville, PA
Address: 848 W Kings Hwy, Coatesville, PA
Address: 1191 Nw Tahoe Lane, Silverdale, WA
Address: 2022 Fifteenth Avenue, Columbus, GA
Address: 1315 W College Ave, State College, PA
Address: 1146 Opal Ct, Hagerstown, MD