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General NPI Number Information
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NPI Number | 1477432896
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Entity Type | Organization
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Legal Business Name | MARCO A. GOMEZ, PSY.D., PLLC
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Dates
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Enumeration Date | 08/29/2025
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Last Update Date | 08/29/2025
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Provider Practice Location Address
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Address Line | 20 MARY LYON DR
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City | SOUTH HADLEY
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State | MA
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Zip | 01075-2130
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Country | US
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Telephone | 413-923-7655
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Fax |
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Provider Business Mailing Address
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Address Line | 82 WENDELL AVE STE 100
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City | PITTSFIELD
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State | MA
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Zip | 01201-7066
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Country | US
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Telephone | 413-923-7655
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Fax |
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOGIST
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Name | DR. MARCO ANTONIO GOMEZ
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Credential | PSYD
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Telephone | 925-470-0720
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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