Organization
DANIEL GOECKNER PHD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL GOECKNER PH.D. (OWNER)
(262) 241-9990
Entity
Organization
Contact information
Practice address
11649 N PORT WASHINGTON RD STE 206, MEQUON, WI 53092
(262) 241-9990
Mailing address
11649 N PORT WASHINGTON RD STE 206, MEQUON, WI 53092-3459
(262) 241-9990
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
850-57
WI
Other
Enumeration date
03/16/2012
Last updated
05/22/2018
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