Provider Demographics
NPI:1104928662
Name:GONZALEZ, MARTHA LETICIA (MD)
Entity type:Individual
Prefix:DR
First Name:MARTHA
Middle Name:LETICIA
Last Name:GONZALEZ
Suffix:
Gender:
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:COUNTY OF SANTA CRUZ BEHAVIORAL HEALTH
Mailing Address - Street 2:1430 FREEDOM BLD
Mailing Address - City:WATSONVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95076
Mailing Address - Country:US
Mailing Address - Phone:831-763-8200
Mailing Address - Fax:
Practice Address - Street 1:COUNTY OF SANTA CRUZ BEHAVIORAL HEALTH
Practice Address - Street 2:1430 FREEDOM BLD
Practice Address - City:WATSONVILLE
Practice Address - State:CA
Practice Address - Zip Code:95076
Practice Address - Country:US
Practice Address - Phone:831-763-8200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-03
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA1498492084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry