Provider Demographics
NPI:1881846301
Name:AARON GOLDNER PSY. D., LP, PLLC
Entity Type:Organization
Organization Name:AARON GOLDNER PSY. D., LP, PLLC
Other - Org Name:ACHIEVEMENT COUNSELING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:AARON
Authorized Official - Middle Name:
Authorized Official - Last Name:GOLDNER
Authorized Official - Suffix:
Authorized Official - Credentials:PSY D
Authorized Official - Phone:248-894-4935
Mailing Address - Street 1:950 E MAPLE RD
Mailing Address - Street 2:SUITE 214
Mailing Address - City:BIRMINGHAM
Mailing Address - State:MI
Mailing Address - Zip Code:48009-6408
Mailing Address - Country:US
Mailing Address - Phone:248-894-4935
Mailing Address - Fax:
Practice Address - Street 1:950 E MAPLE RD
Practice Address - Street 2:SUITE 214
Practice Address - City:BIRMINGHAM
Practice Address - State:MI
Practice Address - Zip Code:48009-6408
Practice Address - Country:US
Practice Address - Phone:248-894-4935
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-15
Last Update Date:2008-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6301013344103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty