Doctor Name: | DR. MELANIE GOTTLIEB |
NPI Number: | 1366403214 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PSY.D. |
License Number: | 547 |
Business Practice Address: | 95-298 Ualalehu St Apt 7 Mililani, HI - 967894119 |
Business Phone Number: | 8083065370 |
Business Fax Number: | 8086224503 |
Mailing Address: | 95-298 Ualalehu St Apt 7, MILILANI |
State: | HI |
Postal Code: | 967894119 |
Phone Number: | 8083065370 |
Fax Number: | 8086224503 |
NPI Enumeration Date: | 03/30/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 547 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | HI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |