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Individual

DR. DAVID GOTTESMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
ONE WASHINGTON STREET, SUITE 305, WELLESLEY, MA 02481
(877) 499-2625
(617) 244-3480
Mailing address
ONE WASHINGTON STREET, SUITE 305, WELLESLEY, MA 02481
(877) 499-2625
(617) 244-3480

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2727
MA
103TC0700X
Clinical Psychologist
PS00678
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
020064
VALUE-OPTIONS
MA
01
WO2820
BLUE CROSS/BLUE SHIELD MA
MA
Enumeration date
10/02/2006
Last updated
03/12/2012
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