Individual
ELISHEVA GOTTSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1003 MIRBECK LN, DURHAM, NC 27713-2569
(907) 223-3718
Mailing address
1003 MIRBECK LN, DURHAM, NC 27713-2569
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810008489
VA
Other
Enumeration date
07/06/2024
Last updated
10/10/2024
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