Individual
DR. DANIEL GOECKNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
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
103TC0700X
Clinical Psychologist
Primary
850-057
WI
Other
Enumeration date
11/22/2005
Last updated
05/22/2018
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