DR. Michael Daniel Gomez, PH.D.

NPI #1316121320 in Riverside, Rhode Island

Provider Information

NPI Number: 1316121320
Entity Type: Individual
Name: DR. Michael Daniel Gomez, PH.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist
Credential: PH.D.
Enumeration Date: Dec 27, 2007
Last Updated: Sep 28, 2021

Practice Location

Address: 1011 VETERANS MEMORIAL PKWY
City: Riverside
State: Rhode Island
ZIP Code: 02915-5061
Phone: (401) 432-1000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary
Psychologist - Clinical — Clinical	103TC0700X
Psychologist - Clinical Child & Adolescent — Clinical Child & Adolescent	103TC2200X

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