Dr Andrew M Gothard, PSYD - Psychologist in Atlanta, GA

Dr Andrew M Gothard, PSYD is a Psychologist - Clinical based in Atlanta, Georgia. Dr Andrew M Gothard is licensed to practice in Georgia (license number PSY002146) and his current practice location is 2308 Perimeter Park Dr, Suite 100, Atlanta, Georgia. He can be reached at his office (for appointments etc.) via phone at (770) 457-5577.

NPI number for Dr Andrew M Gothard is 1053460659 and his current mailing address is 2308 Perimeter Park Dr, Suite 100, Atlanta, Georgia. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1053460659.

Contact Information

Dr Andrew M Gothard, PSYD
2308 Perimeter Park Dr, Suite 100,
Atlanta, GA 30341-1316
(770) 457-5577
(770) 457-5599



Healthcare Provider's Profile

Full NameDr Andrew M Gothard
GenderMale
SpecialityPsychologist - Clinical
Location2308 Perimeter Park Dr, Atlanta, Georgia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1053460659
  • Provider Enumeration Date: 01/10/2007
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Dr Andrew M Gothard such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053460659NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical PSY002146 (Georgia)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Andrew M Gothard is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Andrew M Gothard, PSYD
2308 Perimeter Park Dr, Suite 100,
Atlanta, GA 30341-1316

Ph: (770) 457-5577
Dr Andrew M Gothard, PSYD
2308 Perimeter Park Dr, Suite 100,
Atlanta, GA 30341-1316

Ph: (770) 457-5577

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› Verified 5 days ago


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