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Mary Ellen Get, PSD 146 Montgomery Ave, Suite 302 Ball Crowd, PA 19004 Registration Form Please provide the following information and answer the questions below. Please ll out this form and bring
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Mary Ellen Goetz, PsyD is a licensed psychologist.
Licensed psychologists who provide mental health services are required to file Mary Ellen Goetz PsyD.
Mary Ellen Goetz PsyD must be filled out with accurate information regarding the mental health services provided.
The purpose of Mary Ellen Goetz PsyD is to report on the mental health services provided by licensed psychologists.
Information such as patient demographics, diagnosis, treatments provided, and billing details must be reported on Mary Ellen Goetz PsyD.
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