Phyllis H. Goltra, P.C. in Philadelphia - Psychologist
Phyllis H. Goltra, P.C. - NPI 1164487500
Phyllis H. Goltra, P.C. is a Psychologist in Philadelphia, Pennsylvania. Phyllis H. Goltra, P.C. practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Phyllis H. Goltra, P.C. is 1164487500. The last update date is 2009-06-01.
Phyllis H. Goltra, P.C.'s current location address is 1616 Walnut St, Philadelphia, Pennsylvania. You can contact this provider via phone number 2155458441 and fax number 2159851129. The mailing address for Phyllis H. Goltra, P.C. is 1616 Walnut St, Philadelphia, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Phyllis H. Goltra, P.C. |
|---|---|
| Address | 1616 Walnut St, Philadelphia, Pennsylvania |
| Phone Number | 2155458441 |
| Fax Number | 2159851129 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Goltra H. Phyllis |
| Credentials | PH.D. |
| Telephone Number | 2155458441 |
NPI Number Detail
| NPI Number | 1164487500 |
|---|---|
| Provider Enumeration Date | 2006-04-19 |
| Last Updated Date | 2009-06-01 |
Provider Mailing Address Detail
| Address | 1616 Walnut St |
|---|---|
| City | Philadelphia |
| State | Pennsylvania (PA) |
| Post Code | 191035313 |
| Phone Number | 2155458441 |
| Fax Number | 2159851129 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | PS006504L |
|
Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7244008 | PA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Phyllis H. Goltra, P.C. by the Centers for Medicare & Medicaid Services?
The Phyllis H. Goltra, P.C. has been issued the NPI (National Provider Identifier) 1164487500, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Phyllis H. Goltra, P.C.?
The Phyllis H. Goltra, P.C. is physically situated at 1616 Walnut St, in the city of Philadelphia, state of PA, with the postal code 191035313.
What is the area of specialization for Phyllis H. Goltra, P.C., and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Phyllis H. Goltra, P.C. is Psychologist, and the corresponding taxonomy code that categorizes this area of expertise is 103T00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1164487500 to Phyllis H. Goltra, P.C.?
The Centers for Medicare & Medicaid Services assigned the 1164487500 to Phyllis H. Goltra, P.C. on 2006-04-19.
As of what date were the details related to Phyllis H. Goltra, P.C. most recently updated or revised?
The information pertaining to Phyllis H. Goltra, P.C., including its address, specialty, and other relevant details, was last updated or revised on 2009-06-01.