Goetz, Theodore Michael
Goetz, Theodore Michael is an individual health care provider with primary practice located at 1751 S Lumpkin St , Athens GA 30606-4740. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Goetz, Theodore Michael can be contacted via phone (706) 548-9441.Contact Information
Primary practice address
1751 S Lumpkin St
Athens GA 30606-4740
Phone: (706) 548-9441
Fax: (706) 354-8904
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 698 | Georgia |
Profile Details
| NPI number | 1669463766 |
|---|---|
| LBN Legal business name | Goetz, Theodore Michael |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 31st, 2005 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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