Organization
GLORIA SMALL PHD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLORIA SMALLP PHD (PSYCHOLOGIST)
(203) 453-2932
Entity
Organization
Contact information
Practice address
65 TRUMBULL ST, NEW HAVEN, CT 06510-1031
(203) 453-2932
Mailing address
65 TRUMBULL ST, NEW HAVEN, CT 06510-1031
(203) 453-2932
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
OO1413
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004140852
—
CT
Enumeration date
05/19/2011
Last updated
12/30/2025
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