| Doctor Name: | LYNN C GOTTLIEB |
| NPI Number: | 1093992166 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA IN COUNSELING PSY |
| License Number: | 2239 |
| Business Practice Address: | 3021 Booth Falls Rd Vail, CO - 816574630 |
| Business Phone Number: | 9703904390 |
| Business Fax Number: | 9704766674 |
| Mailing Address: | 3021 Booth Falls Rd, VAIL |
| State: | CO |
| Postal Code: | 816574630 |
| Phone Number: | 9703904390 |
| Fax Number: | 9704766674 |
| NPI Enumeration Date: | 01/30/2008 |
| NPI Last Update Date: | 01/30/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 2239 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |