Organization
DMG PSYCHOLOGY
Active
Other names
Regulating Resolutions
Organization subpart
No
Provider details
NPI number
Authorized official
DIANNE GOETSCH MS, LLP (MASTER'S LICENSED PSYCHOLOGIST)
(313) 528-9146
Entity
Organization
Contact information
Practice address
18518 OUTER DR, DEARBORN, MI 48128-1874
(313) 288-2450
Mailing address
18518 OUTER DR, DEARBORN, MI 48128-1874
(313) 528-9146
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12754218
CAQH
—
Enumeration date
02/06/2023
Last updated
08/22/2025
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