Provider Demographics
NPI:1497805055
Name:GOFF, DANIEL H (PSYD)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:H
Last Name:GOFF
Suffix:
Gender:M
Credentials:PSYD
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Mailing Address - Street 1:3375 N ARLINGTON HEIGHTS RD
Mailing Address - Street 2:SUITE F
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60004-7701
Mailing Address - Country:US
Mailing Address - Phone:847-577-4530
Mailing Address - Fax:847-577-4306
Practice Address - Street 1:3375 N ARLINGTON HEIGHTS RD
Practice Address - Street 2:SUITE F
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60004-7701
Practice Address - Country:US
Practice Address - Phone:847-577-4530
Practice Address - Fax:847-577-4306
Is Sole Proprietor?:No
Enumeration Date:2007-01-12
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1437243094OtherGROUP NUMBER