Dr Darryl Ross Goetz, PHD, LP - Psychologist in Wayzata, MN

Dr Darryl Ross Goetz, PHD, LP is a Psychologist based in Wayzata, Minnesota. Dr Darryl Ross Goetz is licensed to practice in Minnesota (license number LP1770) and his current practice location is 801 Twelve Oaks Center Dr Ste 820a, Wayzata, Minnesota. He can be reached at his office (for appointments etc.) via phone at (612) 508-9019.

NPI number for Dr Darryl Ross Goetz is 1306054663 and his current mailing address is 3130 Jewel Ln N, Plymouth, Minnesota. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1306054663.

Contact Information

Dr Darryl Ross Goetz, PHD, LP
801 Twelve Oaks Center Dr Ste 820a,
Wayzata, MN 55391-4640
(612) 508-9019
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Darryl Ross Goetz
GenderMale
SpecialityPsychologist
Location801 Twelve Oaks Center Dr Ste 820a, Wayzata, Minnesota
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1306054663
  • Provider Enumeration Date: 05/19/2007
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Dr Darryl Ross Goetz such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306054663NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist LP1770 (Minnesota)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Darryl Ross Goetz is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Darryl Ross Goetz, PHD, LP
3130 Jewel Ln N,
Plymouth, MN 55447-1260

Ph: (612) 508-9019
Dr Darryl Ross Goetz, PHD, LP
801 Twelve Oaks Center Dr Ste 820a,
Wayzata, MN 55391-4640

Ph: (612) 508-9019

Reviews and Comments


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