Provider Demographics
NPI:1154649614
Name:GONZALEZ MORALES, MARIA DE LOS A (PSY M)
Entity Type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:DE LOS A
Last Name:GONZALEZ MORALES
Suffix:
Gender:F
Credentials:PSY M
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Mailing Address - Street 1:M31 CALLE 11
Mailing Address - Street 2:BAYAMON GARDENS
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00957-2411
Mailing Address - Country:US
Mailing Address - Phone:787-613-5908
Mailing Address - Fax:787-787-2520
Practice Address - Street 1:LOS MILLONES # D-96
Practice Address - Street 2:REPARTO ALHAMBRA
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00957-2030
Practice Address - Country:US
Practice Address - Phone:787-613-5908
Practice Address - Fax:787-787-2520
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-08
Last Update Date:2010-05-08
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Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR3110103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling