Individual
DR. NANCY GOELZER BURGOYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1101 LAKE ST, OAK PARK, IL 60301-1085
(708) 366-6468
Mailing address
539 WILLIAM ST, RIVER FOREST, IL 60305-1968
(708) 366-6189
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071005673
IL
Other
Enumeration date
09/11/2008
Last updated
09/11/2008
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