Individual
CAROLINE E MUELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 DOCTORS DR STE J, JACKSONVILLE, NC 28546-6308
(910) 333-0814
Mailing address
41 PACELLA PARK DR, RANDOLPH, MA 02368-1755
(781) 437-0791
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-34540
—
103TC0700X
Clinical Psychologist
5650
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110026265E
—
MA
Enumeration date
06/06/2019
Last updated
02/12/2021
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