Individual
MS. GLORIA SMALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
65 TRUMBULL STREET, NEW HAVEN, CT 06510
(203) 453-2932
Mailing address
65 TRUMBULL STREET, NEW HAVEN, CT 06510
(203) 453-2932
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
001413
CT
106H00000X
Marriage & Family Therapist
000203
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
181674
OTHER
—
01
—
NH5128
OTHER
—
Enumeration date
08/31/2006
Last updated
05/01/2025
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