Carmina Vital-gonzalez, MA in Durham, CA - Psychologist

Carmina Vital-gonzalez, MA is a Psychologist - School based in Durham, California. Carmina Vital-gonzalez is licensed to practice in California (license number 180161679) and her current practice location is 9420 Putney Dr, Durham, California. She can be reached at her office (for appointments etc.) via phone at (530) 895-4697.

NPI number for Carmina Vital-gonzalez is 1902576713 and her current mailing address is 9420 Putney Dr, Durham, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1902576713.

Contact Information

	Carmina Vital-gonzalez, MA
	9420 Putney Dr, Durham, CA 95938-9426
	(530) 895-4697
	Not Available

Healthcare Provider's Profile

Full Name	Carmina Vital-gonzalez
Gender	Female
Speciality	Psychologist - School
Location	9420 Putney Dr, Durham, California
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1902576713
Provider Enumeration Date: 09/14/2021
Last Update Date: 09/14/2021

Medical Identifiers

Medical identifiers for Carmina Vital-gonzalez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902576713	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TS0200X	Psychologist - School	180161679 (California)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Carmina Vital-gonzalez is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Carmina Vital-gonzalez, MA 9420 Putney Dr, Durham, CA 95938-9426 Ph: (530) 895-4697	Carmina Vital-gonzalez, MA 9420 Putney Dr, Durham, CA 95938-9426 Ph: (530) 895-4697

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Carmina Vital-gonzalez, MA - Psychologist in Durham, CA