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General NPI Number Information
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NPI Number | 1689543167
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Entity Type | Organization
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Legal Business Name | CRISTA GONZALEZ EDUCATIONAL PSYCHOLOGY INC
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Dates
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Enumeration Date | 11/03/2025
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Last Update Date | 11/03/2025
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Provider Practice Location Address
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Address Line | 116 S CATALINA AVE STE 118
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City | REDONDO BEACH
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State | CA
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Zip | 90277-3388
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Country | US
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Telephone | 310-367-2368
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Fax |
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Provider Business Mailing Address
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Address Line | 5110 PATRICK ST
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City | TORRANCE
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State | CA
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Zip | 90503-1931
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Country | US
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Telephone | 310-367-2368
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Fax |
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Authorized Official
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Title or Position | LICENSED EDUCATIONAL PSYCHOLOGIST
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Name | MRS. CRISTA GONZALEZ
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Credential | LEP
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Telephone | 310-367-2368
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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