Goth, Lesley Rachel

Goth, Lesley Rachel is an sole proprietor health care provider with primary practice located at 2205 W 136Th Ave Ste 106-142 , Broomfield CO 80023-9306. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Goth, Lesley Rachel can be contacted via phone (303) 217-1822.

Contact Information

Primary practice address
2205 W 136Th Ave Ste 106-142 Broomfield CO 80023-9306
Phone: (303) 217-1822
Fax: (303) 845-9065
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 2910 Colorado
Behavioral Health & Social Service Providers / Psychologist 103T00000X 2910 Colorado

Profile Details

NPI number 1912147422
LBN Legal business name Goth, Lesley Rachel
Credentials PSYD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 23rd, 2009
Last updated Dec 12th, 2022 - about 2 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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