Individual
DR. JOHN GOTLEWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
4 PROFESSIONAL DR, #120, GAITHERSBURG, MD 20879-3407
(301) 740-2900
Mailing address
9804 MAINSAIL DR, GAITHERSBURG, MD 20879-1139
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
4128
MD
Other
Enumeration date
04/04/2007
Last updated
07/08/2007
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