Jerald M. Gottlieb, Ph.D, P.C.

LBN: Jerald M. Gottlieb, Ph.D, P.C.
Jerald M. Gottlieb, Ph.D, P.C. is an health care organization with primary practice located at 7 Oglethorpe Professional Blvd Ste 3 , Savannah GA 31406-3677. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Jerald M. Gottlieb, Ph.D, P.C. can be contacted via phone (912) 224-5841, or through Gottlieb, Jerald M via phone (912) 224-5841.

Contact Information

Primary practice address
7 Oglethorpe Professional Blvd Ste 3 Savannah GA 31406-3677
Phone: (912) 224-5841
Fax: (912) 352-4220
Website:
Map and Directions
Authorized official contact:
Name: Gottlieb, Jerald M PH.D
Phone: (912) 224-5841

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY002692 Georgia

Profile Details

NPI number 1275866527
LBN Legal business name Jerald M. Gottlieb, Ph.D, P.C.
DBA Doing business as
Authorized official Gottlieb, Jerald M PH.D
Entity Organization
Organization subpart 1 No
Enumeration date Sep 17th, 2009
Last updated Oct 29th, 2021 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275866527 NPPES
Georgia MEDICAID 663871593A
Georgia Other 1972548907

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