Individual
MARIA GOOTEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSFMT, PSYD., HSPP
Contact information
Practice address
7970 W JEFFERSON BLVD, FORT WAYNE, IN 46804-4140
(317) 696-8858
Mailing address
2637 WASHINGTON BLVD, #164, NORTH OGDEN, TX 84414-2240
(214) 970-6817
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20042969A
IN
Other
Enumeration date
07/13/2016
Last updated
02/01/2022
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