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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MITZI MICHELLE GONZALES, PH.D.

Active

DR. MITZI MICHELLE GONZALES, PH.D. is a Clinical Neuropsychologist healthcare provider located in LOS ANGELES, California. NPI 1659806123 is currently active in the NPPES registry. Verify at CMS.

Clinical Neuropsychologist · LOS ANGELES, CA

Registration Details

NPI Number
1659806123
Provider Type
Individual
Gender
Female
NPI Issued
Apr 21, 2017 (9.3631550327017 yrs)
Last Updated
Dec 7, 2023
Licenses
36697 (TX)
PSY28558 (CA)

Practice Information

Address
444 S SAN VICENTE BLVD STE 103
LOS ANGELES, CA, 900484169
Browse CA providers · Browse ZIP 90048
Phone
3104239722
Fax
3102488710
Primary Specialty
Clinical Neuropsychologist
103G00000X
Additional Specialty
Clinical Neuropsychologist

Other Clinical Neuropsychologist Providers in LOS ANGELES, CA

Name Credential NPI
GAIL ALWANG MURDOCK PHD. 1750318093
MINH-THU THI LE PH.D. 1073542791
CAROL ANNE MC CLEARY PHD 1700816550
PO-HAONG LU PHD 1912922238
KECIA FUMI WATARI KNOELL PHD 1699794560
JOHN GREGORY SERPA PHD 1184727158
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.