IndividualActive
Gary Goldetsky
NPI 1124129382 · Rehabilitation Psychologist · Minneapolis, MN
Provider details
- NPI number
- 1124129382
- Entity type
- Individual
- Primary specialty
- Rehabilitation PsychologistBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- LPO 508 (MN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
515 Delaware St Se
Tmd Clinic
Minneapolis, MN 55455-0357
Phone: (612) 626-6529
Approximate (ZIP-level) locationGet directions
Mailing address
515 Delaware St Se
Minneapolis, MN 55455-0357
Registry dates
- Enumerated
- 2006-09-26
- Last updated
- 2007-08-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.