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Contact Information

JAIME GONZALEZ, PhD
MADIGAN ARMY MEDICAL CENTER
9040 JACKSON AVE
TACOMA, WA98531
 Phone: 253-968-4849
 Fax: 253-968-3731
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
 

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for JAIME GONZALEZ · (Male)

NPI # 1376862037
Status Active
Credentials PhD
Entity Individual
Enumeration date 05/20/2010
Last updated 02/21/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • MN License # LP5426
  • WA License # PY60778412
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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