Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Juan Gonzalez, DR

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1710798582

Juan Gonzalez, DR is a Student in an Organized Health Care Education/Training Program in Phoenix, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2025
Specialties on file
2
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Practice location Address checks out

5010 E Warner Rd Ste 108
Phoenix, AZ 85044-3354
Phone: (480) 382-4416
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence PSY-T-000068 (AZ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence PSY-T-000068 (AZ)

Record details

NPI number1710798582
Entity typeIndividual (Type 1)
GenderMale
Credentials DR
Sole proprietorYes
NPI enumeratedJanuary 20, 2025
Last updated in NPPESJune 16, 2025
Certification dateJune 16, 2025

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