MICHAEL DANIEL GOMEZ

RIVERSIDE, RI
NPI1316121320
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103TC2200X Psychologist Clinical Child & Adolescent
(Licence: RI  PS01997)
Additional Taxonomies103T00000X Psychologist
(Licence: OK  1156)
103TC0700X Psychologist Clinical
(Licence: KS  TLMLP1139)
103TC2200X Psychologist Clinical Child & Adolescent
(Licence: TX  37162)
Enumeration Date2007-12-27
Last Update Date2021-09-28
Business Address
DR. MICHAEL DANIEL GOMEZ PH.D.
1011 VETERANS MEMORIAL PKWY
RIVERSIDE, RI 02915-5061
Phone number: 401-432-1000
Mailing Address
DR. MICHAEL DANIEL GOMEZ PH.D.
117 ELLENFIELD ST STE 101
PROVIDENCE, RI 02905-4541
Phone number: 401-444-6779