Individual
PHYLLIS H GOLTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1616 WALNUT ST, SUITE 1616, PHILADELPHIA, PA 19103-5313
(215) 545-8441
(215) 985-1129
Mailing address
1616 WALNUT ST, SUITE 1616, PHILADELPHIA, PA 19103-5313
(215) 545-8441
(215) 985-1129
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS 006504-L
PA
Other
Enumeration date
09/02/2005
Last updated
03/24/2009
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