Individual
DR. STEFANIE GREENBERG MOKHTARIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
600 N JORDAN AVE, BLOOMINGTON, IN 47405-3190
(812) 855-5711
(812) 855-8447
Mailing address
600 N JORDAN AVE, BLOOMINGTON, IN 47405-3190
(812) 855-5711
(812) 855-8447
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
20042590A
IN
Other
Enumeration date
07/30/2012
Last updated
07/30/2012
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