Hedges-Goettl, Leonard J

Hedges-Goettl, Leonard J is an individual health care provider with primary practice located at 1088 W Baltimore Pike Suite 2205, Media PA 19063-5146. He 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 his primary health care specialty. Hedges-Goettl, Leonard J can be contacted via phone (610) 744-2960.

Contact Information

Primary practice address
1088 W Baltimore Pike Suite 2205 Media PA 19063-5146
Phone: (610) 744-2960
Fax: (610) 744-2420
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PS009035L Pennsylvania
Behavioral Health & Social Service Providers / Psychologist 103T00000X 263827 Wisconsin
Behavioral Health & Social Service Providers / Psychologist 103T00000X PS009035L Pennsylvania

Profile Details

NPI number 1245288067
LBN Legal business name Hedges-Goettl, Leonard J
Credentials PSY. D.
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Sep 2nd, 2020 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1245288067 NPPES
Other WI1451001 MEDICARE PTAN
MEDICAID 39153700 MEDICARE PTAN

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