Individual
DR. JASON ALAN GOCKEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D
Contact information
Practice address
41 S MAIN ST STE 7, WEST HARTFORD, CT 06107-2448
(860) 904-8925
Mailing address
41 SOUTH MAIN ST, SUITE 7, WEST HARTFORD, CT 06107
(860) 904-8925
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
003611
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003611
LICENSE NUMBER
CT
Enumeration date
08/06/2010
Last updated
07/21/2022
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