Individual
DR. ADRIANA LAURA GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
315 SECOND AVE, WEST HAVEN, CT 06516-5128
(203) 514-0657
(845) 818-3500
Mailing address
85 HILLCREST TER, MERIDEN, CT 06450-6128
(845) 535-9119
(845) 818-3500
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
003162
CT
103TC0700X
Clinical Psychologist
Primary
003162
CT
103TC0700X
Clinical Psychologist
003264
CT
103TC0700X
Clinical Psychologist
019350
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03535733
—
NY
05
—
04675774
—
CT
Enumeration date
03/29/2012
Last updated
08/20/2024
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