Organization
MATT MOORADIAN,PSY,D. P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATT MOORADIAN (PSYCHOLOGIST)
(219) 836-3101
Entity
Organization
Contact information
Practice address
9245 CALUMET AVE, SUITE 102, MUNSTER, IN 46321-2821
(219) 836-3101
Mailing address
9245 CALUMET AVE, SUITE 102, MUNSTER, IN 46321-2821
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20040803
IN
Other
Enumeration date
06/17/2008
Last updated
03/17/2009
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