Goltra, Phyllis H

Goltra, Phyllis H is an individual health care provider with primary practice located at 1616 Walnut St Suite 1616, Philadelphia PA 19103-5313. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Goltra, Phyllis H can be contacted via phone (215) 545-8441.

Contact Information

Primary practice address
1616 Walnut St Suite 1616 Philadelphia PA 19103-5313
Phone: (215) 545-8441
Fax: (215) 985-1129
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PS 006504-L Pennsylvania

Profile Details

NPI number 1467446625
LBN Legal business name Goltra, Phyllis H
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2005
Last updated Mar 24th, 2009 - about 17 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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