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Organization

EASTWEST PSYCHOLOGY, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARIA LOURDES GONZALES PSY.D. (LICENSED CLINICAL PSYCHOLOGIST)
(212) 579-7666
Entity
Organization

Contact information

Practice address
115 E 82ND ST, SUITE 1A, NEW YORK, NY 10028-0831
(212) 579-7666
Mailing address
115 E 82ND ST, SUITE 1A, NEW YORK, NY 10028-0831
(212) 579-7666

Taxonomy

Speciality
Code
Description
License number
State
103TA0700X
Adult Development & Aging Psychologist
015211-1
NY
103TC0700X
Clinical Psychologist
Primary
015211-1
NY
103TC2200X
Clinical Child & Adolescent Psychologist
015211-1
NY
103TF0000X
Family Psychologist
015211-1
NY
103TH0004X
Health Psychologist
015211-1
NY
103TH0100X
Health Service Psychologist
015211-1
NY
103TR0400X
Rehabilitation Psychologist
015211-1
NY

Other

Enumeration date
04/10/2009
Last updated
04/10/2009
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