Individual
DR. ANDREW T. GOOTNICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1000 5TH AVE STE 5, SAN RAFAEL, CA 94901-6103
(415) 457-1600
Mailing address
1000 5TH AVE STE 5, SAN RAFAEL, CA 94901-6103
(415) 457-1600
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY 5743
CA
Other
Enumeration date
01/08/2009
Last updated
01/08/2009
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