Mr Douglas Lietzke, PSYCHOLOGIST - Psychologist in Pottstown, PA

Mr Douglas Lietzke, PSYCHOLOGIST is a Psychologist based in Pottstown, Pennsylvania. Mr Douglas Lietzke is licensed to practice in Pennsylvania (license number PS000394L) and his current practice location is 1446 Farmington Ave, Suite 104, Pottstown, Pennsylvania. He can be reached at his office (for appointments etc.) via phone at (610) 323-8844.

NPI number for Mr Douglas Lietzke is 1437106150 and his current mailing address is 1446 Farmington Ave, Suite 104, Pottstown, Pennsylvania. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1437106150.

Contact Information

Mr Douglas Lietzke, PSYCHOLOGIST
1446 Farmington Ave, Suite 104,
Pottstown, PA 19464-1892
(610) 323-8844
(610) 987-0276

Map and Direction




Healthcare Provider's Profile

Full NameMr Douglas Lietzke
GenderMale
SpecialityPsychologist
Location1446 Farmington Ave, Pottstown, Pennsylvania
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1437106150
  • Provider Enumeration Date: 05/28/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Mr Douglas Lietzke such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1437106150NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist PS000394L (Pennsylvania)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. Mr Douglas Lietzke 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
Mr Douglas Lietzke, PSYCHOLOGIST
1446 Farmington Ave, Suite 104,
Pottstown, PA 19464-1892

Ph: (610) 323-8844
Mr Douglas Lietzke, PSYCHOLOGIST
1446 Farmington Ave, Suite 104,
Pottstown, PA 19464-1892

Ph: (610) 323-8844

Reviews and Comments


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