Individual
DIANNE M GOETSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3070 LINDENWOOD DR, DEARBORN, MI 48120-1312
(313) 528-9146
Mailing address
18518 OUTER DR, DEARBORN, MI 48128-1874
(313) 528-9146
(313) 558-8384
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
6361003450
MI
103TC0700X
Clinical Psychologist
6301015777
MI
103TC0700X
Clinical Psychologist
Primary
6361003450
MI
Other
Enumeration date
11/25/2013
Last updated
08/22/2025
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