Susan Jill Gottlieb in Farmington Hills - Clinical
Susan Jill Gottlieb - NPI 1265525109
Susan Jill Gottlieb is a Clinical in Farmington Hills, Michigan. Susan Jill Gottlieb practices all healthcare services and medical treatments related to Clinical. The NPI Number for Susan Jill Gottlieb is 1265525109. The last update date is 2007-07-08.
Susan Jill Gottlieb's current location address is 23800 Orchard Lake Rd, Farmington Hills, Michigan. You can contact this provider via phone number 2484710785 and fax number 2484711406. The mailing address for Susan Jill Gottlieb is 23800 Orchard Lake Rd, Farmington Hills, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan Jill Gottlieb |
|---|---|
| Address | 23800 Orchard Lake Rd, Farmington Hills, Michigan |
| Phone Number | 2484710785 |
| Fax Number | 2484711406 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1265525109 |
|---|---|
| Provider Enumeration Date | 2006-10-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 23800 Orchard Lake Rd |
|---|---|
| City | Farmington Hills |
| State | Michigan (MI) |
| Post Code | 483362560 |
| Phone Number | 2484710785 |
| Fax Number | 2484711406 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 6301007337 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0F33105 | MI | BCBSM |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Susan Jill Gottlieb by the Centers for Medicare & Medicaid Services?
The Susan Jill Gottlieb has been assigned the NPI (National Provider Identifier) 1265525109 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Susan Jill Gottlieb is physically located?
The Susan Jill Gottlieb is situated at the following address: 23800 Orchard Lake Rd, Farmington Hills, MI 483362560.
What is Susan Jill Gottlieb's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Susan Jill Gottlieb is Clinical, and the taxonomy code that classifies this field of practice is 103Tc0700X.
When was the Susan Jill Gottlieb's 1265525109 issued?
The Susan Jill Gottlieb's 1265525109 was issued on 2006-10-02.
As of what date were the details related to Susan Jill Gottlieb most recently updated or revised?
The information pertaining to Susan Jill Gottlieb, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.