Organization
MOON WELLNESS GROUP, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIEA MOON PHD (PHD)
(734) 681-0830
Entity
Organization
Contact information
Practice address
2395 OAK VALLEY DR STE 100, ANN ARBOR, MI 48103-9118
(734) 681-0830
Mailing address
2395 OAK VALLEY DR STE 100, ANN ARBOR, MI 48103-9118
(734) 707-3770
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
06/02/2021
Last updated
04/27/2026
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