Individual
JENNIFER D GOTTLIEB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
15 PARKMAN STREET, PSYCHIATRY SERVICE WAC 8, BOSTON, MA 02114
(617) 724-5600
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIANS ORGANIZATION INC, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
8681
MA
Other
Enumeration date
05/17/2007
Last updated
07/08/2007
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