Michael C Gottlieb is a Clinical in Dallas, Texas. Michael C Gottlieb practices all healthcare services and medical treatments related to Clinical. The NPI Number for Michael C Gottlieb is 1104940105. The last update date is 2007-07-08.
Michael C Gottlieb's current location address is 12810 Hillcrest Rd, Dallas, Texas. You can contact this provider via phone number 9726610746 and fax number 9723850093. The mailing address for Michael C Gottlieb is 12810 Hillcrest Rd, Dallas, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael C Gottlieb |
|---|---|
| Address | 12810 Hillcrest Rd, Dallas, Texas |
| Phone Number | 9726610746 |
| Fax Number | 9723850093 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1104940105 |
|---|---|
| Provider Enumeration Date | 2007-03-17 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 12810 Hillcrest Rd |
|---|---|
| City | Dallas |
| State | Texas (TX) |
| Post Code | 752301525 |
| Phone Number | 9726610746 |
| Fax Number | 9723850093 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 20987 |
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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 Michael C Gottlieb's unique identification number?
The Michael C Gottlieb has been assigned the NPI (National Provider Identifier) Number 1104940105 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Michael C Gottlieb is physically located?
The Michael C Gottlieb is physically situated at the following address: 12810 Hillcrest Rd, Dallas, TX, 752301525.
What is Michael C Gottlieb's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Michael C Gottlieb is Clinical, and the corresponding taxonomy classification code for this specialized field is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1104940105 to Michael C Gottlieb?
The Centers for Medicare & Medicaid Services originally issued the 1104940105 to Michael C Gottlieb on 2007-03-17.
As of what date were the details pertaining to Michael C Gottlieb last refreshed?
The information related to the Michael C Gottlieb, including its address, specialty, and other relevant details, was last updated on 2007-07-08.