Individual
DVORA GOTTLIEB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MMS, CCC
Contact information
Practice address
1206 E 66TH ST, SAVANNAH, GA 31404-5704
(912) 355-4601
(912) 355-7935
Mailing address
202 STUART ST, SAVANNAH, GA 31405-5624
(912) 352-9508
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP001158
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00892515A
—
GA
Enumeration date
10/27/2006
Last updated
07/08/2007
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