Individual
DR. KATHERINE OBERLE GOTHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1500 21ST AVENUE, ROOM 2272, VANDERBILT DEPARTMENT OF PSYCHIATRY OUTPATIENT CLINICS, NASHVILLE, TN 37212-6105
(734) 761-3471
Mailing address
105 POSTWOOD PL, NASHVILLE, TN 37205-1604
(734) 277-2586
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
3294
TN
103TC0700X
Clinical Psychologist
6301014640
MI
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
PSY3294
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/07/2007
Last updated
02/09/2016
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