Doctor Name: | DR. MARTINE GORSTEIN |
NPI Number: | 1043682321 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PSY.D. |
License Number: | 071006823 |
Business Practice Address: | 601 Skokie Blvd. Suite 104 Northbrook, IL - 60062 |
Business Phone Number: | 8475641800 |
Business Fax Number: | |
Mailing Address: | 601 Skokie Blvd., Suite 104 NORTHBROOK |
State: | IL |
Postal Code: | 60062 |
Phone Number: | 8475641800 |
Fax Number: | |
NPI Enumeration Date: | 10/26/2015 |
NPI Last Update Date: | 12/01/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 071006823 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |