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Individual

DIANE CAROL GOTTFRIED

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
760 BROADWAY, ROOM 2B-151, BROOKLYN, NY 11206-5317
(718) 486-2788
(718) 630-3250
Mailing address
238 POWERS ST, APT. 1F, BROOKLYN, NY 11211-5027
(718) 599-3051

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
016835-1
NY

Other

Enumeration date
10/17/2006
Last updated
07/08/2007
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