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Individual
PATRICIA A MOONEY
Active
Individual
PATRICIA A MOONEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.H.S.P.P
Taxonomy
Speciality
Code
Description
License number
State
103TF0000X
Family Psychologist
Primary
20041185A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200451640A
—
IN
Enumeration date
03/19/2008
Last updated
10/08/2013
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