NPI 1043395684

John M Gonzalez, PHD

Practitioner Psychologist Waterford, CT

Practice location

Address: 567 Vauxhall Street Ext. Suite 207, Waterford, CT 06385
Phone: (860) 245-1565
Mailing address: 535 Colonel Ledyard Hwy, Ledyard, CT 06339-1611

Registered specialties (2)

Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103T00000X

Other Psychologist providers in Connecticut →

Counselor

Behavioral Health & Social Service Providers Taxonomy 101Y00000X

Other Counselor providers in Connecticut →

Registry record

NPI: 1043395684
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Oct 2006
Record last updated: 8 Mar 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.