Individual
MYRIEL RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
428 COLUMBUS AVE, NEW HAVEN, CT 06519-1233
(203) 503-3055
(203) 503-3066
Mailing address
428 COLUMBUS AVE, NEW HAVEN, CT 06519-1233
(203) 503-3055
(203) 503-3066
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3284
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004235918
—
CT
Enumeration date
08/12/2010
Last updated
04/29/2013
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