Healthcare Provider Details

I. General information

NPI: 1053226282
Provider Name (Legal Business Name): KARLA ARAN-ROQUE PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/13/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

265 SAINT JOHN ST FL 1
NEW HAVEN CT
06511-4916
US

IV. Provider business mailing address

265 SAINT JOHN ST FL 1
NEW HAVEN CT
06511-4916
US

V. Phone/Fax

Practice location:
  • Phone: 787-648-2979
  • Fax:
Mailing address:
  • Phone: 787-648-2979
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number5447
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: