Individual
DR. MARY ELLEN GOETZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
146 MONTGOMERY AVE STE 146, BALA CYNWYD, PA 19004-2956
(610) 306-4908
(610) 667-6421
Mailing address
146 MONTGOMERY AVE STE 146, BALA CYNWYD, PA 19004-2956
(610) 306-4908
(610) 667-6421
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS015355
PA
Other
Enumeration date
10/29/2007
Last updated
01/23/2008
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