Individual
DR. NELLIE MOUALEU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
3901 RAINBOW BLVD, KANSAS CITY, KS 66160-8500
(913) 588-1300
Mailing address
2108 LEXINGTON AVE APT O, KANSAS CITY, MO 64124-1635
(214) 778-8628
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
103TC1900X
Counseling Psychologist
Primary
—
—
103TH0004X
Health Psychologist
—
—
Other
Enumeration date
02/10/2023
Last updated
02/10/2023
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