Provider Demographics
NPI:1134177249
Name:GONZALEZ, PAMELA C (PHD)
Entity type:Individual
Prefix:DR
First Name:PAMELA
Middle Name:C
Last Name:GONZALEZ
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4609 WINTHROP ST
Mailing Address - Street 2:202
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15213-3718
Mailing Address - Country:US
Mailing Address - Phone:412-682-3009
Mailing Address - Fax:412-682-8196
Practice Address - Street 1:4609 WINTHROP ST
Practice Address - Street 2:202
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213-3718
Practice Address - Country:US
Practice Address - Phone:412-682-3009
Practice Address - Fax:412-682-8196
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS-006122-L103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist