Individual
DR. GERDA THERESE MOEHLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
101 S PINE ST, SUITE #2, MT PROSPECT, IL 60056-3133
(312) 400-9110
Mailing address
101 S PINE ST, SUITE #2, MT PROSPECT, IL 60056-3133
(312) 400-9110
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016-71016
BLUE CROSS BLUE SHIELD
IL
Enumeration date
07/09/2006
Last updated
07/08/2007
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