Provider Demographics
NPI:1780757476
Name:GOETT, ANN L (ARNP LMFT)
Entity type:Individual
Prefix:MS
First Name:ANN
Middle Name:L
Last Name:GOETT
Suffix:
Gender:F
Credentials:ARNP LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 N 34TH ST
Mailing Address - Street 2:SUITE 300
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98103-8600
Mailing Address - Country:US
Mailing Address - Phone:206-940-6221
Mailing Address - Fax:206-632-4576
Practice Address - Street 1:400 N 34TH ST
Practice Address - Street 2:SUITE 300
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98103-8600
Practice Address - Country:US
Practice Address - Phone:206-940-6221
Practice Address - Fax:206-632-4576
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-17
Last Update Date:2008-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP30000058363LP0808X
WALF00001119106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist