Provider Demographics
NPI:1083992036
Name:GOETZINGER, WHITNEY JAYE (MHR, LPC CANDIDATE)
Entity Type:Individual
Prefix:
First Name:WHITNEY
Middle Name:JAYE
Last Name:GOETZINGER
Suffix:
Gender:F
Credentials:MHR, LPC CANDIDATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1601 WAR BIRD DR
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73071-6122
Mailing Address - Country:US
Mailing Address - Phone:405-701-8805
Mailing Address - Fax:
Practice Address - Street 1:2324 N INTERSTATE DR
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73072-2942
Practice Address - Country:US
Practice Address - Phone:405-801-2817
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-25
Last Update Date:2011-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional