Jerald M Gottlieb is a Clinical in Savannah, Georgia. Jerald M Gottlieb practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jerald M Gottlieb is 1972548907. The last update date is 2021-09-15.
Jerald M Gottlieb's current location address is 7 Oglethorpe Professional Blvd, Savannah, Georgia. You can contact this provider via phone number 9122245841 and fax number 9123524220. The mailing address for Jerald M Gottlieb is 7 Oglethorpe Professional Blvd, Savannah, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerald M Gottlieb |
|---|---|
| Address | 7 Oglethorpe Professional Blvd, Savannah, Georgia |
| Phone Number | 9122245841 |
| Fax Number | 9123524220 |
| Sole Proprietor | Y |
| Credentials | PH.D |
NPI Number Detail
| NPI Number | 1972548907 |
|---|---|
| Provider Enumeration Date | 2006-06-16 |
| Last Updated Date | 2021-09-15 |
Provider Mailing Address Detail
| Address | 7 Oglethorpe Professional Blvd |
|---|---|
| City | Savannah |
| State | Georgia (GA) |
| Post Code | 314063608 |
| Phone Number | 9122245841 |
| Fax Number | 9123524220 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY002692 |
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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 |
|---|---|---|---|
| 663871593A | GA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Jerald M Gottlieb by the Centers for Medicare & Medicaid Services (CMS)?
The Jerald M Gottlieb has been assigned the NPI (National Provider Identifier) 1972548907. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Jerald M Gottlieb's facilities are geographically located?
The facilities of Jerald M Gottlieb are physically situated at the following location: 7 Oglethorpe Professional Blvd, Savannah, GA, 314063608.
What is the area of specialization for Jerald M Gottlieb, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jerald M Gottlieb is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1972548907 to Jerald M Gottlieb?
The Centers for Medicare & Medicaid Services assigned the 1972548907 to Jerald M Gottlieb on 2006-06-16.
As of what date were the details related to Jerald M Gottlieb most recently updated or revised?
The information pertaining to Jerald M Gottlieb, including its address, specialty, and other relevant details, was last updated or revised on 2021-09-15.
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