IndividualActive
Mia Gonzalez
NPI 1871425538 · Clinical Child & Adolescent Psychologist · Trumbull, CT
Provider details
- NPI number
- 1871425538
- Entity type
- Individual
- Primary specialty
- Clinical Child & Adolescent PsychologistBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
101 Merritt Blvd Ste 25
Trumbull, CT 06611-5450
Phone: (888) 754-0398
Approximate (ZIP-level) locationGet directions
Mailing address
96 Pilgrim Rd
Bridgeport, CT 06610-1342
Registry dates
- Enumerated
- 2026-05-29
- Last updated
- 2026-05-29
- Certified
- 2026-05-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.