Organization
PSYCHOLOGIST ADRIANA L GONZALEZ PHD PLLC
Active
Parent organization
PSYCHOLOGIST ADRIANA L GONZALEZ PHD PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PSYCHOLOGIST ADRIANA L GONZALEZ PHD PLLC
Authorized official
ADRIANA LAURA GONZALEZ PHD (CLINICAL PSYCHOLOGIST)
(203) 514-0657
Entity
Organization
Contact information
Practice address
315 SECOND AVE, WEST HAVEN, CT 06516-5128
(203) 514-0657
(845) 818-3500
Mailing address
315 SECOND AVE, WEST HAVEN, CT 06516-5128
(203) 514-0657
(845) 818-3500
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TF0000X
Family Psychologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03535733
—
NY
Enumeration date
11/15/2016
Last updated
08/20/2024
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