| Doctor Name: | LILLIAN S GOERTZEL |
| NPI Number: | 1134230733 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | EDD |
| License Number: | S103107 |
| Business Practice Address: | 14 E Stratford Ave Ste 1a Lansdowne, PA - 19050 |
| Business Phone Number: | 6106220965 |
| Business Fax Number: | 6107710372 |
| Mailing Address: | 14 E Stratford Ave, Ste 1a LANSDOWNE |
| State: | PA |
| Postal Code: | 19050 |
| Phone Number: | 6106220965 |
| Fax Number: | 6107710372 |
| NPI Enumeration Date: | 08/31/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | S103107 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NJ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |