Michael J Moller is a Psychologist in Hudson, Wisconsin. Michael J Moller practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Michael J Moller is 1578647004. The last update date is 2010-09-28.
Michael J Moller's current location address is 900 6th St N, Hudson, Wisconsin. You can contact this provider via phone number 7153860856 and fax number 7153860948. The mailing address for Michael J Moller is 900 6th St N, Hudson, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael J Moller |
|---|---|
| Address | 900 6th St N, Hudson, Wisconsin |
| Phone Number | 7153860856 |
| Fax Number | 7153860948 |
| Sole Proprietor | Y |
| Credentials | PSYD |
NPI Number Detail
| NPI Number | 1578647004 |
|---|---|
| Provider Enumeration Date | 2006-10-24 |
| Last Updated Date | 2010-09-28 |
Provider Mailing Address Detail
| Address | 900 6th St N |
|---|---|
| City | Hudson |
| State | Wisconsin (WI) |
| Post Code | 540167171 |
| Phone Number | 7153860856 |
| Fax Number | 7153860948 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 2320 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2172193 | WI | COMPSYCH | |
| 39739300 | WI | WISCONSIN MEDICAL ASSISTANCE | |
| 431R2MO | MN | BCBS | |
| SSN001 | WI | ANTHEM BLUE CROSS OF WI | |
| 20558-03 | BEHAVIOR HEALTH PROVIDERS | ||
| 439K4MO | MN | BCBS | |
| 036J4MO | MN | BCBS MN PRO FEE | |
| 39739300 | WI | -- | |
| 61-74465 | WI | UBH | |
| 880824400 | MN | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Michael J Moller by the Centers for Medicare & Medicaid Services?
The Michael J Moller has been issued the NPI (National Provider Identifier) 1578647004, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Michael J Moller is geographically located?
The Michael J Moller is physically situated at the following location: 900 6Th St N, Hudson, WI, 540167171.
What is Michael J Moller's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Michael J Moller is Psychologist, and the taxonomy code that classifies this field of practice is 103T00000X.
When did the Michael J Moller receive its 1578647004?
The Michael J Moller was issued its 1578647004 on 2006-10-24, which is the date when the organization was assigned this unique identifier.
When was the information related to Michael J Moller most recently updated or refreshed?
The details pertaining to the Michael J Moller, including its address, specialty, and other relevant information, were last updated or refreshed on 2010-09-28.