Mcdonald-Goetzmann, Diane

Mcdonald-Goetzmann, Diane is an individual health care provider with primary practice located at 3501 Harry Langdon Blvd Child Health Specialty Clinics, Council Bluffs IA 51503-7837. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Mcdonald-Goetzmann, Diane can be contacted via phone (712) 309-0041.

Contact Information

Primary practice address
3501 Harry Langdon Blvd Child Health Specialty Clinics Council Bluffs IA 51503-7837
Phone: (712) 309-0041
Fax: (712) 309-0044
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 02831 Iowa

Profile Details

NPI number 1699899906
LBN Legal business name Mcdonald-Goetzmann, Diane
Credentials MSW, LISW
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 19th, 2007
Last updated Oct 1st, 2007 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1699899906 NPPES
Iowa Other 01055 WELLMARK BCBS

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