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Individual

DR. ANDREW M GOTTLIEB

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
415 CAMBRIDGE AVE, SUITE 24, PALO ALTO, CA 94306-1600
(650) 324-2666
Mailing address
415 CAMBRIDGE AVE, SUITE 24, PALO ALTO, CA 94306-1600
(650) 324-2666

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY9505
CA
103TB0200X
Cognitive & Behavioral Psychologist
PSY9505
CA

Other

Enumeration date
01/24/2013
Last updated
01/24/2013
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