npidexNPI registry + Medicare data

ANDREA GOTTLIEB, PHD

Clinical Child & Adolescent Psychologist · BALTIMORE, MD

Individual Active Opted out of Medicare NPI 1316239809

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Clinical Child & Adolescent Psychologist103TC2200X✓05810MD

Medicare eligibility

Opted out of Medicare (Clinical Psychologist), effective 2023-07-01 through 2027-07-01.

Other Clinical Child & Adolescent Psychologist providers in Maryland

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.