Individual
PAUL WILLIAM GOETZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
201 E HURON ST STE 11-140, CHICAGO, IL 60611-2968
(312) 695-2734
Mailing address
201 E HURON ST STE 11-140, CHICAGO, IL 60611-2968
(312) 695-2734
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.008459
IL
Other
Enumeration date
11/20/2012
Last updated
11/20/2012
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