Individual
DR. SANDRA ISAACS MOELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
705 WHITE HORSE PIKE, SUITE S - 5A, ABSECON, NJ 08201-1468
(609) 383-8566
(609) 383-8874
Mailing address
3413 KENWOOD COURT, MAYS LANDING, NJ 08330-3204
(609) 641-1063
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
0059841
NY
103T00000X
Psychologist
Primary
35SI00273500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0485573000
AMERIHEALTH
—
05
—
0807508
—
NJ
Enumeration date
11/20/2006
Last updated
07/08/2007
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