Individual
DR. DANIEL J. KAECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
400 S PINETREE BLVD, THOMASVILLE, GA 31792-7128
(229) 227-2977
(229) 227-2955
Mailing address
PO BOX 1378, SOUTHWESTERN STATE HOSPITAL - PATIENT BILLING DEPARTMEN, THOMASVILLE, GA 31799-1378
(229) 227-2977
(229) 227-2955
Taxonomy
Speciality
Code
Description
License number
State
103TA0700X
Adult Development & Aging Psychologist
PSY000724
GA
103TB0200X
Cognitive & Behavioral Psychologist
Primary
PSY000724
GA
103TC1900X
Counseling Psychologist
PSY000724
GA
103TC2200X
Clinical Child & Adolescent Psychologist
PSY000724
GA
103TF0200X
Forensic Psychologist
PSY000724
GA
103TM1800X
Intellectual & Developmental Disabilities Psychologist
PSY000724
GA
Other
Enumeration date
01/10/2006
Last updated
09/11/2025
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