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NPI Code Detail

MEDICARE: ANDREA MARIA GORRONDONA PH.D.

MEDICARE:   ANDREA MARIA GORRONDONA  PH.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103T00000XPsychologist03271

General Provider Information

NPI Number : 1225680010
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREA MARIA GORRONDONA PH.D.
Provider Business Mailing Address
First Line : 400 S SANTA FE AVE
Second Line :
City : SALINA
State : KS
Zip : 67401-4144
Country : US
Telephone Number : 785-452-6113
Fax Number :
Provider Business Practice Location Address
First Line : 730 HOLLY LN
Second Line :
City : SALINA
State : KS
Zip : 67401-8452
Country : US
Telephone Number : 785-452-7396
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2019
Last Update Date : 02/08/2024

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Directions to “ ANDREA MARIA GORRONDONA PH.D.” Practice Location

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