Individual
DR. JERALD M GOTTLIEB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D
Contact information
Practice address
7 OGLETHORPE PROFESSIONAL BLVD, UNIT 3, SAVANNAH, GA 31406-3608
(912) 224-5841
(912) 352-4220
Mailing address
7 OGLETHORPE PROFESSIONAL BLVD, UNIT 3, SAVANNAH, GA 31406-3608
(912) 224-5841
(912) 352-4220
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY002692
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
663871593A
—
GA
Enumeration date
06/16/2006
Last updated
09/15/2021
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