Organization
VIRGINIA L GOETSCH, PH.D., LLC
Active
Organization
VIRGINIA L GOETSCH, PH.D., LLC
Active
Other names
Virginia L. Goetsch, Ph.D.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIRGINIA L GOETSCH PH.D. (PRESIDENT)
(770) 301-3578
Entity
Organization
Contact information
Practice address
775 COMMERCE DR, SUITE 903, DECATUR, GA 30030-2620
(770) 301-3578
(404) 638-5293
Mailing address
5282 HICKORY WALK TER SW, CONYERS, GA 30094-4757
(770) 301-3578
(404) 638-5293
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2269
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000820817C
—
GA
01
—
11511070
CAQH
GA
Enumeration date
08/31/2012
Last updated
11/01/2012
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up