Individual
DR. CHARLES RICHARD MOELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
4301 MIDDLE SETTLEMENT RD, NEW HARTFORD, NY 13413-5317
(315) 724-2845
(315) 797-3667
Mailing address
4301 MIDDLE SETTLEMENT RD, NEW HARTFORD, NY 13413-5317
(315) 724-2845
(315) 797-3667
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
007627
NY
Other
Enumeration date
07/10/2006
Last updated
07/08/2007
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