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Contact Information

DAVID GOTTESMAN, PhD
ONE WASHINGTON STREET
SUITE 305
WELLESLEY, MA02481
 Phone: 877-499-2625
 Fax: 617-244-3480
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for DAVID GOTTESMAN · (Male)

NPI Number 1205929924
Status Active
Credentials PhD
Entity Individual
Enumeration date 10/02/2006
Last updated 03/12/2012 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • MA License # 2727
  • RI License # PS00678
  • MA Other WO2820 BLUE CROSS/BLUE SHIELD MA
  • MA Other 020064 VALUE-OPTIONS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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