| NPI | 1245288067 |
|---|---|
| Former Name | LEONARD J GOETTL |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: PA PS009035L) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: PA PS009035L) |
| 103T00000X Psychologist (Licence: WI 263827) | |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2020-09-02 |