Gonzalez, Guillermo Ernesto

Gonzalez, Guillermo Ernesto is an sole proprietor health care provider with primary practice located at 6826 Springfield Ave Ste. 103A, Laredo TX 78041-2213. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Gonzalez, Guillermo Ernesto can be contacted via phone (956) 722-3000.

Contact Information

Primary practice address
6826 Springfield Ave Ste. 103A Laredo TX 78041-2213
Phone: (956) 722-3000
Fax: (956) 729-1947
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 23844 Texas
Behavioral Health & Social Service Providers / School 103TS0200X 6198 Texas

Profile Details

NPI number 1306912449
LBN Legal business name Gonzalez, Guillermo Ernesto
Credentials PH.D
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 28th, 2006
Last updated Oct 27th, 2013 - about 12 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 1306912449 NPPES
Texas MEDICAID 0334237-01

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