Individual
THEODORE A MOELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH D
Contact information
Practice address
400 N WOODLAWN, SUITE 202, WICHITA, KS 67206
(316) 686-5151
(316) 652-2436
Mailing address
400 N WOODLAWN, SUITE 202, WICHITA, KS 67206
(316) 686-5151
(316) 652-2436
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0323
KS
Other
Enumeration date
07/21/2006
Last updated
07/08/2007
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