Bruce Gottlieb is a Clinical in West Hartford, Connecticut. Bruce Gottlieb practices all healthcare services and medical treatments related to Clinical. The NPI Number for Bruce Gottlieb is 1740341866. The last update date is 2016-01-20.
Bruce Gottlieb's current location address is 18 N Main St, West Hartford, Connecticut. You can contact this provider via phone number 8605158242. The mailing address for Bruce Gottlieb is 18 N Main St, West Hartford, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bruce Gottlieb |
|---|---|
| Address | 18 N Main St, West Hartford, Connecticut |
| Phone Number | 8605158242 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1740341866 |
|---|---|
| Provider Enumeration Date | 2006-12-12 |
| Last Updated Date | 2016-01-20 |
Provider Mailing Address Detail
| Address | 18 N Main St |
|---|---|
| City | West Hartford |
| State | Connecticut (CT) |
| Post Code | 61071970 |
| Phone Number | 8605158242 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 1005 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the Bruce Gottlieb's 1740341866?
The Bruce Gottlieb's NPI (National Provider Identifier) Number is 1740341866. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Bruce Gottlieb?
The Bruce Gottlieb is physically situated at 18 N Main St, in the city of West Hartford, state of CT, with the postal code 61071970.
What is the Bruce Gottlieb's specialty and taxonomy code?
The Bruce Gottlieb's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1740341866 to Bruce Gottlieb?
The Bruce Gottlieb received its 1740341866 assignment from the Centers for Medicare & Medicaid Services on 2006-12-12.
As of what date were the Bruce Gottlieb's details last updated?
The information pertaining to the Bruce Gottlieb, including its address, specialty, and other details, was most recently updated on 2016-01-20.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC