Individual
MICHELLE GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7000 AUSTIN ST, SUITE 200, FOREST HILLS, NY 11375-1022
(718) 762-7633
Mailing address
6007 69TH ST, MASPETH, NY 11378-2936
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
1044618161
NY
103TS0200X
School Psychologist
1045335161
NY
Other
Enumeration date
07/20/2016
Last updated
07/20/2016
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