Individual
DR. BRYAN GOTTLIEB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
964 ISABEL DR, LEBANON, PA 17042-7482
(717) 274-9777
(717) 274-9815
Mailing address
785 5TH AVE STE 3, CHAMBERSBURG, PA 17201-4232
(717) 263-9555
(717) 709-6529
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS019290
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103933713
—
PA
01
—
15372983
CAQH
—
01
—
PS019290
STATE LICENSE
PA
Enumeration date
07/09/2021
Last updated
03/09/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us