Individual
ERIN ELISABETH MOONEYHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1120 S CALUMET RD STE 3, CHESTERTON, IN 46304-3286
(219) 983-9675
(219) 983-9681
Mailing address
2712 W 1000 N, MICHIGAN CITY, IN 46360-9622
(574) 274-4482
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
10/25/2021
Last updated
10/25/2021
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