Individual
MR. DAVID PAUL GOETZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LLP, NCP
Contact information
Practice address
1101 MILITARY ST, PORT HURON, MI 48060-5418
(810) 984-5575
(810) 984-6433
Mailing address
1101 MILITARY ST, PORT HURON, MI 48060-5418
(810) 984-5575
(810) 984-6433
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
6301006571
MI
103TC0700X
Clinical Psychologist
6301006571
MI
103TC1900X
Counseling Psychologist
Primary
6301006571
MI
103TC2200X
Clinical Child & Adolescent Psychologist
6301006571
MI
Other
Enumeration date
03/14/2007
Last updated
11/08/2013
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