Gonzalez, Adriana Laura

Gonzalez, Adriana Laura is an sole proprietor health care provider with primary practice located at 85 Hillcrest Ter , Meriden CT 06450. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Gonzalez, Adriana Laura can be contacted via phone (845) 535-9119.

Contact Information

Primary practice address
85 Hillcrest Ter Meriden CT 06450
Phone: (845) 535-9119
Fax: (845) 818-3500
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 003162 Connecticut
Behavioral Health & Social Service Providers / Clinical 103TC0700X 019350 New York
Behavioral Health & Social Service Providers / Clinical 103TC0700X 003162 Connecticut

Profile Details

NPI number 1710253182
LBN Legal business name Gonzalez, Adriana Laura
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 29th, 2012
Last updated Aug 16th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710253182 NPPES
New York MEDICAID 03535733
New York MEDICAID 04675774

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