Gottlieb, Shira Beth
Gottlieb, Shira Beth is an sole proprietor health care provider with primary practice located at 405 N Washington St Suite 104, Falls Church VA 22046-3410. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as her primary health care specialty. Gottlieb, Shira Beth can be contacted via phone (703) 825-0502.Contact Information
Primary practice address
405 N Washington St Suite 104
Falls Church VA 22046-3410
Phone: (703) 825-0502
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 0810005372 | Virginia |
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | PSY1001188 | District of Columbia |
Profile Details
| NPI number | 1669830329 |
|---|---|
| LBN Legal business name | Gottlieb, Shira Beth |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 9th, 2016 |
| Last updated | Oct 24th, 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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