Active NPIIndividual providerSole proprietor

Dr. Susan E Gottlieb, PHD

Psychologist in Arlington, Massachusetts

NPI Number1154477644
Practice location
259 Massachusetts Ave, Arlington, MA 02474-8406
Fax
—
Last updated
July 8, 2007

Susan Ellen Gottlieb is a Psychologist based in Arlington, MA. Susan Ellen Gottlieb practices in Arlington, MA and has the professional credentials of PHD. The NPI Number for Susan Ellen Gottlieb is 1154477644 and holds a License No. 2515 (MA). The current practice location address for Susan Ellen Gottlieb is 259 Massachusetts Ave, Arlington, MA 02474-8406 and can be reached out via phone at 781-641-0272.

Provider Profile Details

NPI Number
1154477644
Provider Name
Susan Ellen Gottlieb
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
259 Massachusetts Ave, Arlington, MA 02474-8406
Phone Number
781-641-0272
Primary Taxonomy
Psychologist · 103T00000X
Sole Proprietor
Yes
Provider Enumeration Date
January 26, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
259 Massachusetts Ave
Arlington, MA 02474-8406
Zip
02474-8406
Phone Number
781-641-0272
Arlington, MA 02474Get directions →

Provider Business Mailing Address Details

Address
259 Massachusetts Ave
Arlington, MA 02474-8406
City
Arlington
State
MA
Zip
02474-8406
Phone Number
781-641-0272

License Information

License Number
2515
License State
MA
Taxonomy
Psychologist · 103T00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Susan E Gottlieb, PHD?

The NPI number of Dr. Susan E Gottlieb, PHD is 1154477644. It was assigned on January 26, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Susan E Gottlieb, PHD?

Dr. Susan E Gottlieb, PHD is registered under the primary taxonomy Psychologist (code 103T00000X), licensed in MA under license number 2515.

Where does Dr. Susan E Gottlieb, PHD practice?

The practice location is 259 Massachusetts Ave, Arlington, MA 02474-8406. The office can be reached at 781-641-0272 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1154477644 directly on the NPPES registry website.

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