Individual
JODY LYNN GOTTESMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
5611 CONSTITUTION AVE, COLORADO SPRINGS, CO 80915-1218
(719) 492-5471
Mailing address
5611 CONSTITUTION AVE, COLORADO SPRINGS, CO 80915-1218
(719) 492-5471
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0003999
CO
1041C0700X
Clinical Social Worker
LCSW 414
CO
Other
Enumeration date
05/18/2007
Last updated
03/10/2026
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