Individual
DR. MITCHELL L. GOTTSAGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ED.D.
Contact information
Practice address
3900 WOODLAND AVE, PHILADELPHIA, PA 19104-4551
(215) 823-5800
Mailing address
1753 SUE ELLEN DR, HAVERTOWN, PA 19083-1227
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS001785L
PA
Other
Enumeration date
09/16/2006
Last updated
07/08/2007
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