Doctor Name: | CYNTHIA CARLEEN GONZALEZ |
NPI Number: | 1033314380 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW |
License Number: | ASW15770 |
Business Practice Address: | 762 W Cypress Ave San Dimas, CA - 917733505 |
Business Phone Number: | 9095991227 |
Business Fax Number: | |
Mailing Address: | 1306 Standish Pl, ARCADIA |
State: | CA |
Postal Code: | 910064567 |
Phone Number: | 6266222243 |
Fax Number: | |
NPI Enumeration Date: | 06/18/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | ASW15770 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |