Cosico-Berge, Lilibeth Gonzales

Cosico-Berge, Lilibeth Gonzales is an sole proprietor health care provider with primary practice located at 327 S Ivy St , Escondido CA 92025-4337. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as her primary health care specialty. Cosico-Berge, Lilibeth Gonzales can be contacted via phone (858) 220-5657.

Contact Information

Primary practice address
327 S Ivy St Escondido CA 92025-4337
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X PSY19662 California

Profile Details

NPI number 1609912302
LBN Legal business name Cosico-Berge, Lilibeth Gonzales
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 29th, 2007
Last updated Jul 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609912302 NPPES
California MEDICAID PSY 196620

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