Individual
LAUREN LYNNE GONZALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1 SOUTH AVE, GARDEN CITY, NY 11530-4213
(315) 992-8318
Mailing address
65 S PORTLAND AVE APT 2, BROOKLYN, NY 11217-1373
(702) 768-1950
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
023034
NY
Other
Enumeration date
11/15/2019
Last updated
08/12/2022
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