Organization
SUSAN GOTTLIEB PHD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN GOTTLIEB PHD (PRES)
(248) 408-3074
Entity
Organization
Contact information
Practice address
23800 ORCHARD LAKE RD STE 104, FARMINGTON HILLS, MI 48336-2561
(248) 408-3074
Mailing address
PO BOX 250621, FRANKLIN, MI 48025-0621
(248) 408-3074
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
08/28/2020
Last updated
08/28/2020
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