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Individual

GISELLE COLORADO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSYD

Contact information

Practice address
655 E JERSEY ST, ELIZABETH, NJ 07206-1259
(908) 994-7161
(908) 994-7354
Mailing address
655 E JERSEY ST, ELIZABETH, NJ 07206-1259
(908) 994-7161
(908) 994-7354

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
022001
NY
103TC0700X
Clinical Psychologist
Primary
35SI00574900
NJ

Other

Enumeration date
03/10/2017
Last updated
03/10/2017
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