Individual
DR. SUSAN ELLEN GOTTLIEB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
259 MASSACHUSETTS AVE, ARLINGTON, MA 02474-8406
(781) 641-0272
Mailing address
259 MASSACHUSETTS AVE, ARLINGTON, MA 02474-8406
(781) 641-0272
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2515
MA
Other
Enumeration date
01/26/2007
Last updated
07/08/2007
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