Individual
CHARLES MUELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICENSED PH. D
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY-350
HI
103T00000X
Psychologist
PSY-350
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11058-9002686
TRUST RISK MANAGEMENT SERVICES
IL
01
—
PSY-350
STATE LICENSE
HI
Enumeration date
02/12/2009
Last updated
06/11/2021
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