Organization
MOONEY CONSULTING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARC EDWARD MOONEY PH.D. (CLINICAL PSYCHOLOGIST)
(612) 991-6875
Entity
Organization
Contact information
Practice address
7200 FRANCE AVE S, SUITE 224, EDINA, MN 55435-4300
(952) 831-0422
(952) 831-0443
Mailing address
2505 BENJAMIN ST NE, MINNEAPOLIS, MN 55418-4003
(612) 991-6875
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
4773
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
987635000
—
MN
Enumeration date
03/09/2012
Last updated
03/09/2012
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