| Organization Name: | GUILLERMO E GONZALEZ JR PHD PC |
| NPI Number: | 1013146091 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GUILLERMO E. GONZALEZ (PSYCHOLOGIST) |
| Mailing Address: | 6826 Springfield Ave Suite 103a Laredo |
| State: | TX US |
| Postal Code: | 780412213 |
| Phone Number: | 9567223000 |
| Fax Number: | |
| NPI Enumeration Date: | 07/10/2009 |
| NPI Last Update Date: | 04/03/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM0850X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Adult Mental Health |
| Taxonomy Definition: | An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |