THEODORE MICHAEL GOETZ

ATHENS, GA
NPI1669463766
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: GA  698)
Enumeration Date2005-10-31
Last Update Date2007-07-08
Business Address
-- THEODORE MICHAEL GOETZ Ph.D.
1751 S LUMPKIN ST
ATHENS, GA 30606-4740
Phone number: 706-548-9441
Mailing Address
-- THEODORE MICHAEL GOETZ Ph.D.
1751 S LUMPKIN ST
ATHENS, GA 30606-4740
Phone number: 706-548-9441