NPI 1083881189 MIRACLE NICOLE GOETZ PSY. D. MOORE OK. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Miracle Nicole Goetz - NPI: 1083881189

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: MIRACLE NICOLE GOETZ
NPI Number: 1083881189
Entity Type Code: Individual (1)
Gender: F
Credentials: PSY. D.
License Number:
Business Practice Address: 1044 Sw 4th St
Moore, OK - 731602405
Business Phone Number: 4057356333
Business Fax Number: 4057356629
Mailing Address: 1044 Sw 4th St,
MOORE
State: OK
Postal Code: 731602405
Phone Number: 4057356333
Fax Number: 4057356629
NPI Enumeration Date: 05/08/2008
NPI Last Update Date: 06/09/2015
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 103TC2200X
License Number:
Healthcare Provider Taxonomy:
(Secondary)
Y
State:
Taxonomy Type: Behavioral Health & Social Service Providers
Taxonomy Classification: Psychologist
Taxonomy Specialization: Clinical Child & Adolescent
Taxonomy Definition:


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