Most Relevant Information
Provider Data
| NPI Number: | 1003449034 |
| Provider Name: | JAMIE GONZALEZ S.S.P., NCSP |
| Entity Type: | Individual |
| Taxonomy Code: | 103TS0200X |
| Specialty: | Psychologist |
| License Number: | SS1411 |
Most Important Dates
| Enumeration Date: | 02/18/2020 |
| Last Updated: | 02/18/2020 |
Provider Practice Location
9260 SW 72ND ST STE 203
MIAMI
FL
331733255
Practice Location Phone/Fax
| Phone: | 7863761094 |
| Fax: |
Provider Mailing Location
5900 SW 93RD PL
MIAMI
FL
331731565
Provider Mailing Phone/Fax
| Phone: | 7863761094 |
| Fax: |