Gonzalez Hall, Yezenia

Gonzalez Hall, Yezenia is an individual health care provider with primary practice located at 1463 Oakfield Dr Ste 130 , Brandon FL 33511-0802. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Gonzalez Hall, Yezenia can be contacted via phone (813) 655-4166.

Contact Information

Primary practice address
1463 Oakfield Dr Ste 130 Brandon FL 33511-0802
Phone: (813) 655-4166
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1801019161
LBN Legal business name Gonzalez Hall, Yezenia
Credentials M.S.W.
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2007
Last updated Aug 16th, 2018 - about 6 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 1801019161 NPPES
Florida MEDICAID 811577000

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