Lietzke, Douglas
Lietzke, Douglas is an individual health care provider with primary practice located at 1446 Farmington Ave Suite 104, Pottstown PA 19464-1892. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Lietzke, Douglas can be contacted via phone (610) 323-8844.Contact Information
Primary practice address
1446 Farmington Ave Suite 104
Pottstown PA 19464-1892
Phone: (610) 323-8844
Fax: (610) 987-0276
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PS000394L | Pennsylvania |
Profile Details
| NPI number | 1437106150 |
|---|---|
| LBN Legal business name | Lietzke, Douglas |
| Credentials | PSYCHOLOGIST |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 28th, 2006 |
| 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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