Diane Gottlieb is a Psychiatry in Philadelphia, Pennsylvania. Diane Gottlieb practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Diane Gottlieb is 1124017082. The last update date is 2008-05-14.
Diane Gottlieb's current location address is 2900 W Queen Ln, Philadelphia, Pennsylvania. You can contact this provider via phone number 2159918532 and fax number 2158435495. The mailing address for Diane Gottlieb is 2900 W Queen Ln, Philadelphia, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Diane Gottlieb |
|---|---|
| Address | 2900 W Queen Ln, Philadelphia, Pennsylvania |
| Phone Number | 2159918532 |
| Fax Number | 2158435495 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1124017082 |
|---|---|
| Provider Enumeration Date | 2005-10-13 |
| Last Updated Date | 2008-05-14 |
Provider Mailing Address Detail
| Address | 2900 W Queen Ln |
|---|---|
| City | Philadelphia |
| State | Pennsylvania (PA) |
| Post Code | 191291033 |
| Phone Number | 2159918532 |
| Fax Number | 2158435495 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
| Licence No | MD064466L |
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Definition: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 18303020006 | PA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Diane Gottlieb by the Centers for Medicare & Medicaid Services?
The Diane Gottlieb has been issued the NPI (National Provider Identifier) 1124017082 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Diane Gottlieb's facilities are situated?
The facilities of Diane Gottlieb are physically located at the following address: 2900 W Queen Ln, Philadelphia, PA, 191291033.
What is Diane Gottlieb's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Diane Gottlieb is Psychiatry, and the taxonomy code that categorizes this field of expertise is 2084P0800X.
On what date was the 1124017082 assigned to Diane Gottlieb?
The Diane Gottlieb was issued its 1124017082 on 2005-10-13, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Diane Gottlieb most recently updated or revised?
The information pertaining to Diane Gottlieb, including its address, specialty, and other relevant details, was last updated or revised on 2008-05-14.