Provider Demographics
NPI:1871794958
Name:GONZALEZ, GABRIELA D (PSY D)
Entity type:Individual
Prefix:DR
First Name:GABRIELA
Middle Name:D
Last Name:GONZALEZ
Suffix:
Gender:F
Credentials:PSY D
Other - Prefix:PROF
Other - First Name:GABRIELA
Other - Middle Name:D
Other - Last Name:MORENO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:13430 SW 104TH TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-3352
Mailing Address - Country:US
Mailing Address - Phone:305-382-4168
Mailing Address - Fax:
Practice Address - Street 1:13430 SW 104TH TER
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-3352
Practice Address - Country:US
Practice Address - Phone:305-519-7456
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-29
Last Update Date:2022-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist