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NPI Code Detail

MEDICARE: CATALINA GOMEZ PHD

MEDICARE: CATALINA GOMEZ PHD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC1900XCounseling Psychologist17916NY
2103TC0700XClinical Psychologist017916NY

General Provider Information

NPI Number : 1225277890
Entity Type Code : Individual
Provider Name (Legal Business Name) : CATALINA GOMEZ PHD
Provider Business Mailing Address
First Line : 95 PIERREPONT ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11201-2704
Country : US
Telephone Number : 347-392-8228
Fax Number :
Provider Business Practice Location Address
First Line : 95 PIERREPONT ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11201-2704
Country : US
Telephone Number : 347-392-2288
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/05/2009
Last Update Date : 09/27/2020

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