Goetz, Darryl Ross
Goetz, Darryl Ross is an sole proprietor health care provider with primary practice located at 801 Twelve Oaks Center Dr Ste 820A , Wayzata MN 55391-4640. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Goetz, Darryl Ross can be contacted via phone (612) 508-9019.Contact Information
Primary practice address
801 Twelve Oaks Center Dr Ste 820A
Wayzata MN 55391-4640
Phone: (612) 508-9019
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | LP1770 | Minnesota |
Profile Details
| NPI number | 1306054663 |
|---|---|
| LBN Legal business name | Goetz, Darryl Ross |
| Credentials | PH.D., L.P. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 19th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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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