Dr. Rischa Connell Gottlieb
Clinical Psychologist Cognitive & Behavioral Psychologist Clinical Child & Adolescent Psychologist
4807 30th Ave Apt 1
Astoria
, New York 11103-1233
Dr. Rischa Connell Gottlieb
Clinical Psychologist Cognitive & Behavioral Psychologist Clinical Child & Adolescent Psychologist
4807 30th Ave Apt 1
Astoria
, New York 11103-1233
(917) 559-7209
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About
Features
Specialties
- Cognitive & Behavioral Psychologist
- Clinical Psychologist
- Clinical Child & Adolescent Psychologist
Languages spoken
- English
Location
First Address
- Dr. Rischa Connell Gottlieb
- 4807 30th Ave Apt 1
- Astoria, NY
- Zip : 11103-1233
- Phone : (917) 559-7209
Second Address
- Dr. Rischa Connell Gottlieb
- 4807 30th Ave Apt 1
- Astoria, NY
- Zip : 11103-1233
- Phone : (917) 559-7209
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 103TB0200X | Cognitive & Behavioral Psychologist | 021912 | NY |
| Y | 103G00000X | Clinical Psychologist | 021912 | NY |
| Y | 103TC0700X | Clinical Psychologist | 021912 | NY |
| N | 103TC2200X | Clinical Child & Adolescent Psychologist | 021912 | NY |
National Provider Identifier
| NPI | 1154873883 |
|---|---|
| Provider Name | Dr. Rischa Connell Gottlieb |
| First Address | Astoria, NY 11103-1233 |
| Second Address | Astoria, NY 11103-1233 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/10/2016 |
| Last Update Date | 28/10/2016 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.