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Contact Information

DANIEL J KAECK, PHD
400 S PINETREE BLVD
THOMASVILLE, GA31792-7128
 Phone: 229-227-2977
 Fax: 229-227-2955
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cognitive & Behavioral

103TB0200X 62 Psychologist, Clinical
 

Adult Development & Aging

103TA0700X 62 Psychologist, Clinical
 

Clinical Child & Adolescent

103TC2200X 62 Psychologist, Clinical
 

Counseling

103TC1900X 62 Psychologist, Clinical
 

Forensic

103TF0200X 62 Psychologist, Clinical
 

Intellectual & Developmental Disabilities

103TM1800X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for DANIEL J KAECK · (Male)

NPI # 1194704031
Status Active
Credentials PHD
Entity Individual
Enumeration date 01/10/2006
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 No
Identifiers
  • GA License # PSY000724
Hospital affiliation(s) Not Available
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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