Organization
THEODORE M GOETZ PHD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THEODORE M GOETZ PHD (PSYCHOLOGIST)
(706) 548-9441
Entity
Organization
Contact information
Practice address
1751 S LUMPKIN ST, ATHENS, GA 30606-4740
(706) 548-9441
Mailing address
1751 S LUMPKIN ST, ATHENS, GA 30606-4740
(706) 548-9441
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
698
GA
Other
Enumeration date
11/28/2011
Last updated
11/28/2011
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