Daniel Goeckner PHD LLC

NPI #1194090639 in Mequon, Wisconsin

Provider Information

NPI Number: 1194090639
Entity Type: Organization
Organization Name: Daniel Goeckner PHD LLC
Primary Specialty: Psychologist
Enumeration Date: Mar 16, 2012
Last Updated: May 22, 2018

Practice Location

Address: 11649 N PORT WASHINGTON RD STE 206
City: Mequon
State: Wisconsin
ZIP Code: 53092
Phone: (262) 241-9990

Authorized Official

Name: DR. DANIEL GOECKNER, PH.D.
Title: OWNER
Phone: (262) 241-9990

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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