| Jerald M. Gottlieb, Ph.d, P.c. | |
|
7 Oglethorpe Professional Blvd Ste 3 Savannah GA 31406-3677 | |
| (912) 224-5841 | |
| (912) 352-4220 |
| Full Name | Jerald M. Gottlieb, Ph.d, P.c. |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 7 Oglethorpe Professional Blvd Ste 3, Savannah, Georgia |
| Authorized Official Name and Position | Jerald M Gottlieb (PSYCHOLOGIST) |
| Authorized Official Contact | 9122245841 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jerald M. Gottlieb, Ph.d, P.c. 7 Oglethorpe Professional Blvd Ste 3 Savannah GA 31406-3677 Ph: (912) 224-5841 | Jerald M. Gottlieb, Ph.d, P.c. 7 Oglethorpe Professional Blvd Ste 3 Savannah GA 31406-3677 Ph: (912) 224-5841 |
| NPI Number | 1275866527 |
|---|---|
| Provider Enumeration Date | 09/17/2009 |
| Last Update Date | 10/29/2021 |
| Certification Date | 10/29/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275866527 | NPI | - | NPPES |
| 663871593A | Medicaid | GA | |
| 1972548907 | Other | GA | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY002692 (Georgia) | Primary |
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