Goertz, Mackenzie Tara
Goertz, Mackenzie Tara is an individual health care provider with primary practice located at 9200 W Wisconsin Avenue Psychiatry And Psychology, Milwaukee WI 53226-3522. She recently has only one registered license in Behavioral Health & Social Service Providers / Health, which is considered as her primary health care specialty. Goertz, Mackenzie Tara can be contacted via phone (414) 805-3666.Contact Information
Primary practice address
9200 W Wisconsin Avenue Psychiatry And Psychology
Milwaukee WI 53226-3522
Phone: (414) 805-3666
Fax: (414) 955-6285
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Health | 103TH0004X | 508757 | Wisconsin |
Profile Details
| NPI number | 1871273052 |
|---|---|
| LBN Legal business name | Goertz, Mackenzie Tara |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 21st, 2023 |
| Last updated | Sep 5th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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