Individual
JACQUELINE ANN MOELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD, LP
Contact information
Practice address
3915 GOLDEN VALLEY RD, COURAGE CENTER, GOLDEN VALLEY, MN 55422-4249
(763) 520-0344
(763) 520-0216
Mailing address
3915 GOLDEN VALLEY RD, COURAGE CENTER, GOLDEN VALLEY, MN 55422-4249
(763) 520-0344
(763) 520-0216
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP4901
MN
Other
Enumeration date
01/31/2008
Last updated
01/31/2008
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