GARY GOLDETSKY
Psychologist - Rehabilitation
Active
Individual
NPI: 1124129382
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Psychologist - Rehabilitation | 103TR0400X | Yes | LPO 508 (MN) |
Frequently Asked Questions
NPI 1124129382 is the National Provider Identifier for GARY GOLDETSKY, a Psychologist - Rehabilitation provider located in Minneapolis, MN. This NPI was enumerated on September 26, 2006.
GARY GOLDETSKY practices at 515 DELAWARE ST SE, TMD CLINIC, Minneapolis, MN 55455.
Quick Facts
- NPI
- 1124129382
- Type
- Individual
- Enumerated
- Sep 26, 2006
- Last Updated
- Aug 14, 2007
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