Individual
MRS. LINDA HAAS GOTTLIEB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
15 JUNE ST, WOODBRIDGE, CT 06525-2238
(203) 387-1779
Mailing address
22 BEECHWOOD RD, WOODBRIDGE, CT 06525-1331
(203) 387-1779
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
000755
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
660000755CT02
INSURANCE PROVIDER NUMBER
CT
Enumeration date
02/20/2007
Last updated
07/08/2007
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