| Susan Gottlieb Phd Llc | |
|
23800 Orchard Lake Rd Ste 104 Farmington Hills MI 48336-2561 | |
| (248) 408-3074 | |
| Not Available |
| Full Name | Susan Gottlieb Phd Llc |
|---|---|
| Speciality | Psychologist |
| Location | 23800 Orchard Lake Rd Ste 104, Farmington Hills, Michigan |
| Authorized Official Name and Position | Susan Gottlieb (PRES) |
| Authorized Official Contact | 2484083074 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Susan Gottlieb Phd Llc Po Box 250621 Franklin MI 48025-0621 Ph: (248) 408-3074 | Susan Gottlieb Phd Llc 23800 Orchard Lake Rd Ste 104 Farmington Hills MI 48336-2561 Ph: (248) 408-3074 |
| NPI Number | 1891308904 |
|---|---|
| Provider Enumeration Date | 08/28/2020 |
| Last Update Date | 08/28/2020 |
| Certification Date | 08/27/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891308904 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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