Organization
LILLIAN M. MOELLER, PH.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LILLIAN M. MOELLER PH.D. (OWNER)
(719) 442-6955
Entity
Organization
Contact information
Practice address
10 BOULDER CRESCENT ST STE 101B, COLORADO SPRINGS, CO 80903-3344
(719) 442-6955
(719) 442-6947
Mailing address
10 BOULDER CRESCENT ST STE 101B, COLORADO SPRINGS, CO 80903-3344
(719) 442-6955
(719) 442-6947
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
1558
CO
Other
Enumeration date
10/07/2008
Last updated
12/29/2011
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