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Ricardo Gonzales, Ph.d., Psychological Services, Llc
Adolescent and Children Mental Health Clinic/Center in Glorieta, New Mexico
NPI 1639444920

Ricardo Gonzales, Ph.d., Psychological Services, Llc is an Adolescent and Children Mental Health Clinic/Center based in Glorieta, NM and is specialized in Adolescent and Children Mental Health. Ricardo Gonzales, Ph.d., Psychological Services, Llc practices in Glorieta, NM. The NPI Number for Ricardo Gonzales, Ph.d., Psychological Services, Llc is 1639444920 and holds a License No. #414 (New Mexico).

The current practice location address for Ricardo Gonzales, Ph.d., Psychological Services, Llc is 168 Ave. Ponderosa, Glorieta, NM and can be reached out via phone at 505-757-2216.

Location: 168 Ave. Ponderosa, Glorieta, NM, 87535-0325
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1639444920
Provider Name
Ricardo Gonzales, Ph.d., Psychological Services, Llc
Credential
Provider Entity Type
Organization
Address
168 Ave. Ponderosa, Glorieta, NM, 87535-0325
Phone Number
505-757-2216
Fax Number
Provider Enumeration Date
03/20/2012
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
168 Ave. Ponderosa
City
Glorieta
State
New Mexico
Zip
87535
Phone Number
505-757-2216
Fax Number
person
Provider Business Mailing Address Details
Address
168 Ave. Ponderosa
City
Glorieta
State
New Mexico
Zip
87535
Phone Number
505-757-2216
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
#414 (New Mexico)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
#414 (New Mexico)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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