Provider Demographics
NPI:1407053986
Name:GONCALVES, CRISTINA SALVADOR (PSYD)
Entity Type:Individual
Prefix:DR
First Name:CRISTINA
Middle Name:SALVADOR
Last Name:GONCALVES
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:645 4TH ST
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94607-3556
Mailing Address - Country:US
Mailing Address - Phone:510-428-3351
Mailing Address - Fax:
Practice Address - Street 1:1375 COTTERELL DR
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95121-2519
Practice Address - Country:US
Practice Address - Phone:408-209-1950
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health