Individual
LEONARD J HEDGES-GOETTL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY. D.
Contact information
Practice address
1088 W BALTIMORE PIKE, SUITE 2205, MEDIA, PA 19063-5146
(610) 744-2960
(610) 744-2420
Mailing address
1088 W BALTIMORE PIKE, SUITE 2205, MEDIA, PA 19063-5146
(610) 744-2960
(610) 744-2420
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
263827
WI
103T00000X
Psychologist
Primary
PS009035L
PA
103TC0700X
Clinical Psychologist
PS009035L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39153700
—
WI
01
—
WI1451001
MEDICARE PTAN
—
Enumeration date
05/04/2006
Last updated
09/02/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us