Provider Demographics
NPI:1548507759
Name:GOEL, KATHRYN SCHWARTZ (PHD)
Entity type:Individual
Prefix:
First Name:KATHRYN
Middle Name:SCHWARTZ
Last Name:GOEL
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:KATHRYN
Other - Middle Name:
Other - Last Name:SCHWARTZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2417 POST RD
Mailing Address - Street 2:
Mailing Address - City:STEVENS POINT
Mailing Address - State:WI
Mailing Address - Zip Code:54481-6124
Mailing Address - Country:US
Mailing Address - Phone:715-690-1272
Mailing Address - Fax:715-544-1212
Practice Address - Street 1:2417 POST RD
Practice Address - Street 2:
Practice Address - City:STEVENS POINT
Practice Address - State:WI
Practice Address - Zip Code:54481-6124
Practice Address - Country:US
Practice Address - Phone:715-690-1272
Practice Address - Fax:715-544-1212
Is Sole Proprietor?:No
Enumeration Date:2013-01-08
Last Update Date:2015-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI3278-57103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical