Gonzalez, Samuel Gregory

Gonzalez, Samuel Gregory is an individual health care provider with primary practice located at 1317 Huntington Dr , South Pasadena CA 91030-4511. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is his primary health care specialty. Gonzalez, Samuel Gregory can be contacted via phone (323) 344-5541.

Contact Information

Primary practice address
1317 Huntington Dr South Pasadena CA 91030-4511
Phone: (323) 344-5541
Fax: (323) 344-5550
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X 42788 California
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 45661 California

Profile Details

NPI number 1467584268
LBN Legal business name Gonzalez, Samuel Gregory
Credentials M.A. MFT
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2007
Last updated Mar 2nd, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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