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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PHYLLIS H. GOLTRA, P.C.

Active Organization

PHYLLIS H. GOLTRA, P.C. is a Psychologist organization located in PHILADELPHIA, Pennsylvania. NPI 1164487500 is currently active in the NPPES registry. Verify at CMS.

Psychologist · PHILADELPHIA, PA

Registration Details

NPI Number
1164487500
Provider Type
Organization
NPI Issued
Apr 19, 2006 (20.138794730755 yrs)
Last Updated
Jun 1, 2009
License
PS006504L (PA)

Practice Information

Address
1616 WALNUT ST
SUITE 1616
PHILADELPHIA, PA, 191035313
Browse PA providers · Browse ZIP 19103
Phone
2155458441
Fax
2159851129
Primary Specialty
Psychologist
103T00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.