Healthcare Provider Details

I. General information

NPI: 1508714387
Provider Name (Legal Business Name): MARIA ANTOINETTE GOMES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/18/2026
Last Update Date: 03/18/2026
Certification Date: 03/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 E MARIPOSA ST
AVENAL CA
93204-1499
US

IV. Provider business mailing address

1057 E GRANGEVILLE BLVD
HANFORD CA
93230-2246
US

V. Phone/Fax

Practice location:
  • Phone: 559-386-5253
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: