Basic Information
Provider Information
NPI: 1225451206
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GOETSCH
FirstName: BRITTNEY
MiddleName: N.
NamePrefix:  
NameSuffix:  
Credential: GENETIC COUNSELOR
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 7951 E. MAPLEWOOD AVE
Address2: SUITE 300
City: GREENWOOD VILLAGE
State: CO
PostalCode: 80111
CountryCode: US
TelephoneNumber: 3039307800
FaxNumber: 3039307860
Practice Location
Address1: 10103 RIDGEGATE PKWY
Address2: SUITE G01
City: LONE TREE
State: CO
PostalCode: 80104
CountryCode: US
TelephoneNumber: 3039279672
FaxNumber: 3032674442
Other Information
ProviderEnumerationDate: 01/28/2014
LastUpdateDate: 01/28/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
170300000X  Y Other Service ProvidersGenetic Counselor, MS 

No ID Information.


Home