Individual
MS. LUZ IDALIA RODRIGUEZ-ORTEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
180 FAIRFIELD AVE, BRIDGEPORT, CT 06604-4252
(203) 394-6529
Mailing address
456 EASTERN ST, APT 1C, NEW HAVEN, CT 06513-2348
(305) 496-0059
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
12/16/2009
Last updated
12/16/2009
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