Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK CHRISTOPHER GOETZ, PHD
ActiveMARK CHRISTOPHER GOETZ, PHD is a Psychologist healthcare provider located in CHAMPLIN, Minnesota. NPI 1780978023 is currently active in the NPPES registry. Verify at CMS.
Psychologist · CHAMPLIN, MN
Registration Details
- NPI Number
- 1780978023
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 3, 2011 (15.225779809453 yrs)
- Last Updated
- Apr 9, 2021
- Licenses
-
PY60230406 (WA)PY60230406 (WA)
Practice Information
- Address
-
11269 JEFFERSON HWY NCHAMPLIN, MN, 553163123Browse MN providers · Browse ZIP 55316
- Phone
- 7632360600
- Primary Specialty
-
Psychologist
103T00000X
- Additional Specialty
- Physical Medicine & Rehabilitation
- Additional Specialty
- Psychologist
- Additional Specialty
- Clinical Psychologist
- Additional Specialty
- Counseling Psychologist
Other Psychologist Providers in CHAMPLIN, MN
| Name | Credential | NPI |
|---|---|---|
| DR. DEVON E. WHITEHEAD | PH.D. | 1003037458 |
| DR. LISA WILKE | PSYD | 1760927784 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.