Individual provider · Type 1 NPI

John M. Gonzalez, PhD

Psychologist · Waterford, CT

NPI number 1043395684 Active · reactivated Mar 8, 2022

Practice location

567 Vauxhall Street Ext. Suite 207
Waterford, CT 06385

Mailing address

535 Colonel Ledyard Hwy
Ledyard, CT 06339-1611

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Psychologist Primary 103T00000XNone listed

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

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About NPI 1043395684

John M. Gonzalez, PhD's National Provider Identifier is 1043395684, issued on Oct 25, 2006. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Waterford, CT. The record was last updated on Mar 8, 2022.