Andrew T. Gootnick, PH.D. Valid NPI
Individual provider · Psychologist · San Rafael, CA
- NPI
- 1609013952
- Type
- Individual (Type 1)
- Primary specialty
- Psychologist
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 103T00000X
- License number
- PSY 5743 (CA)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2009-01-08
- Last updated
- 2009-01-08
Practice location
1000 5th Ave Ste 5
San Rafael, CA 94901-6103
(415) 457-1600