| Doctor Name: | MRS. ELIZABETH T. GOTWALS |
| NPI Number: | 1619951183 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSW,LCSW,ACSW,QCSW |
| License Number: | CWO13617 |
| Business Practice Address: | 214 Peach Orchard Road Mc Connellsburg, PA - 17233 |
| Business Phone Number: | 7174856120 |
| Business Fax Number: | 7174856106 |
| Mailing Address: | 214 Peach Orchard Road, MC CONNELLSBURG |
| State: | PA |
| Postal Code: | 17233 |
| Phone Number: | 7174856120 |
| Fax Number: | 7174856106 |
| NPI Enumeration Date: | 11/30/2005 |
| NPI Last Update Date: | 08/10/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | CWO13617 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |