Individual
MICHELLE GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11919 18TH AVE, COLLEGE POINT, NY 11356-2106
(347) 956-6041
Mailing address
11919 18TH AVE, COLLEGE POINT, NY 11356-2106
(347) 956-6041
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
NY
Other
Enumeration date
05/15/2021
Last updated
05/15/2021
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