Mark Christopher Goetz, PHD

NPI #1780978023 in Champlin, Minnesota

Provider Information

NPI Number: 1780978023
Entity Type: Individual
Name: Mark Christopher Goetz, PHD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist
Credential: PHD
Enumeration Date: Jun 3, 2011
Last Updated: Apr 9, 2021

Practice Location

Address: 11269 JEFFERSON HWY N
City: Champlin
State: Minnesota
ZIP Code: 55316-3123
Phone: (763) 236-0600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Rehabilitation — Rehabilitation	103TR0400X
Physical Medicine & Rehabilitation	208100000X
Psychologist	103T00000X	Primary
Psychologist - Clinical — Clinical	103TC0700X
Psychologist - Counseling — Counseling	103TC1900X
Psychologist - Clinical Child & Adolescent — Clinical Child & Adolescent	103TC2200X
Psychologist - Family — Family	103TF0000X
Psychologist - Health — Health	103TH0004X

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Organizations

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