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General NPI Number Information
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NPI Number | 1124458492
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Entity Type | Individual
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Provider Name | RACHAEL GOLDMANN PSYD
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Gender | Female
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Dates
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Enumeration Date | 11/22/2013
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Last Update Date | 04/11/2025
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Provider Practice Location Address
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Address Line | 4505 S RIVER RIDGE BLVD
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City | GREENFIELD
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State | WI
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Zip | 53228-2476
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Country | US
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Telephone | 414-350-0537
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Fax |
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Provider Business Mailing Address
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Address Line | 385 WILLIAMSTOWNE STE 301
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City | DELAFIELD
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State | WI
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Zip | 53018-2323
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 7470
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 377-228
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 5312-57
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License Number State | WI
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