Provider Demographics
NPI:1508749441
Name:GONZALEZ-GOMEZ, VANESSA SOLANUS (MS)
Entity type:Individual
Prefix:
First Name:VANESSA
Middle Name:SOLANUS
Last Name:GONZALEZ-GOMEZ
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2450 S UNIVERSITY BLVD UNIT 548
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80210-5543
Mailing Address - Country:US
Mailing Address - Phone:786-809-7353
Mailing Address - Fax:
Practice Address - Street 1:PROFESSIONAL PSYCHOLOGY CLINIC
Practice Address - Street 2:2450 S VINE ST.
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80210
Practice Address - Country:US
Practice Address - Phone:786-809-7353
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-29
Last Update Date:2025-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program