Individual
MICHELLE ANNE MUCKERHEIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ED.S.
Contact information
Practice address
1331 N BLUE RD, GREENFIELD, IN 46140-6512
(317) 462-4491
Mailing address
110 W NORTH ST, GREENFIELD, IN 46140-2172
(317) 498-1384
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
1100298
IN
Other
Enumeration date
09/06/2024
Last updated
09/06/2024
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