Individual provider · Type 1 NPI

Mark Christopher Goetz, PhD

Psychologist · Champlin, MN

NPI number 1780978023 Active

Practice location

11269 Jefferson Hwy N
Champlin, MN 55316-3123

Call (763) 236-0600 Map

Mailing address

401 14th Ave SE
Puyallup, WA 98372

Specialties and licenses

TaxonomyCodeLicense
Rehabilitation Psychologist 103TR0400XNone listed
Physical Medicine & Rehabilitation Physician 208100000XPY60230406 (WA)
Psychologist Primary 103T00000XNone listed
Clinical Psychologist 103TC0700XPY60230406 (WA)
Counseling Psychologist 103TC1900XNone listed
Clinical Child & Adolescent Psychologist 103TC2200XPY60230406 (WA)
Family Psychologist 103TF0000XNone listed
Health Psychologist 103TH0004XNone listed

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

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About NPI 1780978023

Mark Christopher Goetz, PhD's National Provider Identifier is 1780978023, issued on Jun 3, 2011. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Champlin, MN. The record was last updated on Apr 9, 2021.