Individual
ZULIAM IVELISEE GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
425 DROZDYK DR, GROTON, CT 06340-4248
(860) 610-0400
Mailing address
245 BENHAM RD APT 13, GROTON, CT 06340-5074
(787) 394-5498
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
008173
CT
Other
Enumeration date
01/12/2026
Last updated
01/12/2026
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