Goetz, Miracle Nicole

Goetz, Miracle Nicole is an individual health care provider with primary practice located at 1505 Renaissance Blvd , Edmond OK 73013-3018. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as her primary health care specialty. Goetz, Miracle Nicole can be contacted via phone (405) 850-8497.

Contact Information

Primary practice address
1505 Renaissance Blvd Edmond OK 73013-3018
Phone: (405) 850-8497
Fax: (405) 300-0643
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X

Profile Details

NPI number 1083881189
LBN Legal business name Goetz, Miracle Nicole
Credentials PSY. D.
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2008
Last updated Aug 4th, 2022 - about 3 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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