William Bradley Goeltz in Eau Claire - Clinical
William Bradley Goeltz - NPI 1629142104
William Bradley Goeltz is a Clinical in Eau Claire, Wisconsin. William Bradley Goeltz practices all healthcare services and medical treatments related to Clinical. The NPI Number for William Bradley Goeltz is 1629142104. The last update date is 2007-07-09.
William Bradley Goeltz's current location address is 3203 Stein Blvd, Eau Claire, Wisconsin. You can contact this provider via phone number 7155521342. The mailing address for William Bradley Goeltz is 3203 Stein Blvd, Eau Claire, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | William Bradley Goeltz |
|---|---|
| Address | 3203 Stein Blvd, Eau Claire, Wisconsin |
| Phone Number | 7155521342 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PSYD |
NPI Number Detail
| NPI Number | 1629142104 |
|---|---|
| Provider Enumeration Date | 2006-11-17 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 3203 Stein Blvd |
|---|---|
| City | Eau Claire |
| State | Wisconsin (WI) |
| Post Code | 547016917 |
| Phone Number | 7155521342 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 2609-057 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 223E4GO | MN | BCBS OF MN | |
| 855751047520 | MN | PREFERRED ONE | |
| 39151900 | WI | -- | |
| HP668411 | MN | HEALTH PARTNERS |
Post Comment/ Review Below
What is the unique provider identifier assigned to William Bradley Goeltz?
The William Bradley Goeltz has been issued the NPI (National Provider Identifier) 1629142104 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where William Bradley Goeltz's facilities are situated?
The facilities of William Bradley Goeltz are physically located at the following address: 3203 Stein Blvd, Eau Claire, WI, 547016917.
What is William Bradley Goeltz's specialized field of practice, and what is the corresponding taxonomy classification code?
The William Bradley Goeltz's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1629142104 to William Bradley Goeltz?
The William Bradley Goeltz received its 1629142104 assignment from the Centers for Medicare & Medicaid Services on 2006-11-17.
When was the information related to William Bradley Goeltz most recently updated or refreshed?
The details pertaining to the William Bradley Goeltz, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-09.