NPI | 1407105703 |
---|---|
Doing Business As | VIRGINIA L. GOETSCH, PH.D. |
Entity Type | Organization |
Authorized Contact | VIRGINIA L GOETSCH President 770-301-3578 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: GA 2269) |
Enumeration Date | 2012-08-31 |
Last Update Date | 2012-11-01 |