MR. Robert W Gotwalt, MS CCDP DIPLOMATE

NPI #1528185279 in Hbg., Pennsylvania

Provider Information

NPI Number: 1528185279
Entity Type: Individual
Name: MR. Robert W Gotwalt, MS CCDP DIPLOMATE
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Credential: MS CCDP DIPLOMATE
Enumeration Date: Mar 26, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 120 EAST AZALEA DRIVE
City: Hbg.
State: Pennsylvania
ZIP Code: 17110-3594
Phone: (717) 772-7513

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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