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DR. KATHERINE OBERLE GOTHAM PH.D.

Behavioral Health & Social Service Providers Psychologist Clinical

Provider NPI: 1194938266

Provider Information:
DR. KATHERINE OBERLE GOTHAM PH.D.
Gender: F
Not Sole Proprietor

Practice Location:
1500 21ST AVENUE, ROOM 2272 VANDERBILT DEPARTMENT OF PSYCHIATRY OUTPATIENT CLINICS NASHVILLE, TN 37212-6105 US
Tel: 734-761-3471  Fax: --

Business Mailing Address:
105 POSTWOOD PL  NASHVILLE, TN 37205-1604 US
Tel: 734-277-2586  Fax: --

NPI Information:
NPI: 1194938266
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N103TC0700XBehavioral Health & Social Service Providers
Psychologist
Clinical
TN3294
N103TC0700XBehavioral Health & Social Service Providers
Psychologist
MI6301014640
N390200000XStudent
Organized Health Care Education/Training Program
Y2084P0804XPhysicians
Psychiatry & Neurology
TNPSY3294

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 2084P0804X

Type:

Classification:



Definition:



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