Individual
DR. JILL ALEXANDER-GOTTESMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1357 W 6TH ST, ERIE, PA 16505-2503
(814) 455-1544
Mailing address
1357 W 6TH ST, ERIE, PA 16505-2503
(814) 455-1544
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS007709L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102596950
—
PA
05
—
1025969500001
—
PA
01
—
604255
HIGHMARK BLUE CROSS /SHIE
PA
Enumeration date
08/31/2006
Last updated
08/04/2021
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