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Individual

KATHERINE MOELLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSY.D., HSPP

Contact information

Practice address
2200 LAKE AVE STE 260, FORT WAYNE, IN 46805-5351
(260) 424-0411
Mailing address
1235 OAK TRAIL CT, FORT WAYNE, IN 46845-6120

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
103TC0700X
Clinical Psychologist
Primary
20043410A
IN

Other

Enumeration date
08/04/2015
Last updated
12/18/2020
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