Individual
DR. BRUCE GOTTLIEB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH D.
Contact information
Practice address
1732 15TH ST NW, WASHINGTON, DC 20009-6642
(860) 818-4096
Mailing address
1732 15TH ST NW, WASHINGTON, DC 20009-6642
(860) 818-4096
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY200001402
DC
Other
Enumeration date
12/12/2006
Last updated
08/18/2024
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