Gonzalez-Diaz, Vivian D.J.

Gonzalez-Diaz, Vivian D.J. is an individual health care provider with primary practice located at 3271 Nw 7Th St Suite #203, Miami FL 33125-4141. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Clinical, Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Clinical Neuropsychologist. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is her primary health care specialty. Gonzalez-Diaz, Vivian D.J. can be contacted via phone (786) 220-6902.

Contact Information

Primary practice address
3271 Nw 7Th St Suite #203 Miami FL 33125-4141
Phone: (786) 220-6902
Fax: (866) 726-0526
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY5395 Florida
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X PY5395 Florida

Profile Details

NPI number 1184639569
LBN Legal business name Gonzalez-Diaz, Vivian D.J.
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2006
Last updated Jul 2nd, 2024 - about 5 months 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 1184639569 NPPES
Florida Other PY5395 PSYCHOLOGIST LICENSE#

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