Individual
AMY ELLEN GOCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
544 MEDLOCK RD, SUITE 104, DECATUR, GA 30030-1515
(404) 378-1210
(404) 378-7414
Mailing address
544 MEDLOCK RD, SUITE 104, DECATUR, GA 30030-1515
(404) 378-1210
(404) 378-7414
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1007
GA
Other
Enumeration date
08/22/2006
Last updated
07/08/2007
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