Individual
KURT A MOEHLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D., H.S.P.P.
Contact information
Practice address
9002 N MERIDIAN ST, STE 200, INDIANAPOLIS, IN 46260-5350
(317) 450-1942
Mailing address
1629 W 79TH ST, INDIANAPOLIS, IN 46260-5232
(317) 450-1942
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20040055A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100068940A
—
IN
01
—
260032589
RAILROAD PROVIDER NUMBER
IN
Enumeration date
02/12/2007
Last updated
02/19/2018
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