Individual
KAYLA GOTTLIEB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14740 70TH AVE APT 3, FLUSHING, NY 11367-2447
(551) 265-5153
Mailing address
14740 70TH AVE APT 3, FLUSHING, NY 11367-2447
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
028309
NY
Other
Enumeration date
06/29/2026
Last updated
06/29/2026
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