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Individual

PATRICIA A MOONEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSY.D.H.S.P.P

Contact information

Practice address
3405 NORTH CAMPBELL ROAD, VALPARAISO, VALPARAISO, IN 46385
(219) 462-1023
Mailing address
4860 ROBB ST, SUITE 201, WHEAT RIDGE, CO 80033-2184
(303) 278-7418
(888) 341-5050

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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