Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
VANESA D GOERTZEN, PHD
ActiveCognitive & Behavioral Psychologist · FORT BRAGG, CA
Registration Details
- NPI Number
- 1902921745
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 20, 2007 (19.132947509342 yrs)
- Last Updated
- Jul 8, 2007
- License
-
PSY17451 (CA)
Practice Information
- Address
-
205 SOUTH STFORT BRAGG, CA, 954375540Browse CA providers · Browse ZIP 95437
- Phone
- 7079641251
- Fax
- 7079612722
- Primary Specialty
-
Cognitive & Behavioral Psychologist
103TB0200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.