Carmina Vital-Gonzalez, MA

NPI #1902576713 in Durham, California

Provider Information

NPI Number: 1902576713
Entity Type: Individual
Name: Carmina Vital-Gonzalez, MA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist - School
Credential: MA
Enumeration Date: Sep 14, 2021
Last Updated: Sep 14, 2021

Practice Location

Address: 9420 PUTNEY DR
City: Durham
State: California
ZIP Code: 95938-9426
Phone: (530) 895-4697

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - School — School	103TS0200X	Primary

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