Amy Ellen Goch is a Clinical in Decatur, Georgia. Amy Ellen Goch practices all healthcare services and medical treatments related to Clinical. The NPI Number for Amy Ellen Goch is 1871609990. The last update date is 2007-07-08.
Amy Ellen Goch's current location address is 544 Medlock Rd, Decatur, Georgia. You can contact this provider via phone number 4043781210 and fax number 4043787414. The mailing address for Amy Ellen Goch is 544 Medlock Rd, Decatur, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Amy Ellen Goch |
|---|---|
| Address | 544 Medlock Rd, Decatur, Georgia |
| Phone Number | 4043781210 |
| Fax Number | 4043787414 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1871609990 |
|---|---|
| Provider Enumeration Date | 2006-08-22 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 544 Medlock Rd |
|---|---|
| City | Decatur |
| State | Georgia (GA) |
| Post Code | 300301515 |
| Phone Number | 4043781210 |
| Fax Number | 4043787414 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 1007 |
|
Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
|
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Amy Ellen Goch by the Centers for Medicare & Medicaid Services?
The Amy Ellen Goch has been issued the NPI (National Provider Identifier) 1871609990 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete address where Amy Ellen Goch is physically located?
The Amy Ellen Goch is situated at the following address: 544 Medlock Rd, Decatur, GA 300301515.
What is the Amy Ellen Goch's specialty and taxonomy code?
The Amy Ellen Goch's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.
On what date did Amy Ellen Goch receive its 1871609990 assignment from the Centers for Medicare & Medicaid Services?
The Amy Ellen Goch was assigned its 1871609990 on 2006-08-22, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Amy Ellen Goch, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Amy Ellen Goch, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.