Gottlieb, Mary Lou

Gottlieb, Mary Lou is an individual health care provider with primary practice located at 16360 Roscoe Blvd , Van Nuys CA 91406-1219. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Gottlieb, Mary Lou can be contacted via phone (818) 901-4830.

Contact Information

Primary practice address
16360 Roscoe Blvd Van Nuys CA 91406-1219
Phone: (818) 901-4830
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCS7439 California

Profile Details

NPI number 1790814580
LBN Legal business name Gottlieb, Mary Lou
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 5th, 2007
Last updated Jul 11th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790814580 NPPES
California Other LCS7439 SOCIAL WORK

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