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Contact Information

CAMERON A GOETZ, PHD
339 REED AVE
MANITOWOC, WI54220-2020
 Phone: 920-320-8600
 Fax: 920-320-8662
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Clinical Child & Adolescent

103TC2200X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for CAMERON A GOETZ · (Male)

NPI # 1932120607
Status Active
Credentials PHD
Entity Individual
Enumeration date 07/21/2006
Last updated 10/17/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 2345-057
  • WI Medicaid 43576700
  • Other Q23775 CIGNA
  • Other 29439 NETWORK HEALTH PLAN
  • Other P00241039 RAILROAD MEDICARE
Hospital affiliation(s)
  • HOLY FAMILY MEMORIAL INC - (Acute Care)
    2300 WESTERN AVE
    MANITOWOC, WI 54221
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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