Individual
MARY MOELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
10201 CARNEGIE AVE, CLEVELAND, OH 44106-2130
(866) 223-8100
Mailing address
1325 NELSON ST, LAKEWOOD, OH 44107-2207
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
P.08325
OH
Other
Enumeration date
05/18/2018
Last updated
08/19/2022
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