Diane T Gottlieb is a Clinical in Burlington, Vermont. Diane T Gottlieb practices all healthcare services and medical treatments related to Clinical. The NPI Number for Diane T Gottlieb is 1982775763. The last update date is 2007-07-09.
Diane T Gottlieb's current location address is 187 Saint Paul St, Burlington, Vermont. You can contact this provider via phone number 8028632495 and fax number 8028650534. The mailing address for Diane T Gottlieb is 187 Saint Paul St, Burlington, Vermont. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Diane T Gottlieb |
|---|---|
| Address | 187 Saint Paul St, Burlington, Vermont |
| Phone Number | 8028632495 |
| Fax Number | 8028650534 |
| Sole Proprietor | Y |
| Credentials | MSW, PH.D. |
NPI Number Detail
| NPI Number | 1982775763 |
|---|---|
| Provider Enumeration Date | 2006-11-13 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 187 Saint Paul St |
|---|---|
| City | Burlington |
| State | Vermont (VT) |
| Post Code | 54014689 |
| Phone Number | 8028632495 |
| Fax Number | 8028650534 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 478 |
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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 |
|---|---|---|---|
| 11764 | VT | TRICARE VALUE OPTIONS | |
| 1003835 | VT | -- | |
| T000511 | VT | CHAMPUS TRICARE | |
| 1260007 | MA | MAGELLEN MASS | |
| 108058 | VT | UNITED BEHAVIORAL HEALTH | |
| 223960 | VT | COMPSYCH | |
| 64071 | VT | CIGNA | |
| 8064 | VT | BC AND BS |
Post Comment/ Review Below
What is the unique identifier code issued to Diane T Gottlieb by the Centers for Medicare & Medicaid Services?
The Diane T Gottlieb has been assigned the NPI (National Provider Identifier) 1982775763. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Diane T Gottlieb?
The Diane T Gottlieb is situated at 187 Saint Paul St, in the city of Burlington, state of VT, with the zip code 54014689.
What is Diane T Gottlieb's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Diane T Gottlieb is Clinical, and the taxonomy code that classifies this field of practice is 103Tc0700X.
On what date was the 1982775763 assigned to Diane T Gottlieb?
The Diane T Gottlieb was issued its 1982775763 on 2006-11-13, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Diane T Gottlieb most recently updated?
The details pertaining to the Diane T Gottlieb, including its address, specialty, and other relevant information, were last refreshed on 2007-07-09.
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