Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gary Michael Goldetsky

Individual provider Rehabilitation Psychologist · NPI 1124129382

Gary Michael Goldetsky is a Rehabilitation Psychologist in Minneapolis, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.

Licensed in
MN
In the registry since
2006

Practice location Address checks out

515 Delaware St SE Tmd Clinic
Minneapolis, MN 55455-0357
Phone: (612) 626-6529
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rehabilitation Psychologist (primary) Taxonomy 103TR0400X · Licence LPO 508 (MN)

Record details

NPI number1124129382
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 26, 2006
Last updated in NPPESAugust 14, 2007
Mailing address515 Delaware St Se, Tmd Clinic, Minneapolis, MN 55455-0357

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