| Bruce Gottlieb Llc | |
|
2346 Kaibab Cir St George UT 84790-8060 | |
| (303) 440-7792 | |
| Not Available |
| Full Name | Bruce Gottlieb Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2346 Kaibab Cir, St George, Utah |
| Authorized Official Name and Position | Bruce Gottlieb (PSYCHOTHERAPIST) |
| Authorized Official Contact | 3034407792 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bruce Gottlieb Llc 2346 Kaibab Cir St George UT 84790-8060 Ph: (303) 440-7792 | Bruce Gottlieb Llc 2346 Kaibab Cir St George UT 84790-8060 Ph: (303) 440-7792 |
| NPI Number | 1538614219 |
|---|---|
| Provider Enumeration Date | 08/23/2016 |
| Last Update Date | 11/14/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538614219 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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