Loman Moudry, Michelle

Loman Moudry, Michelle is an individual health care provider with primary practice located at 9200 W Wisconsin Ave , Milwaukee WI 53226-3522. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is her primary health care specialty. Loman Moudry, Michelle can be contacted via phone (414) 805-9248.

Contact Information

Primary practice address
9200 W Wisconsin Ave Milwaukee WI 53226-3522
Phone: (414) 805-9248
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X Wisconsin
Behavioral Health & Social Service Providers / Clinical 103TC0700X 3182-57 Wisconsin

Profile Details

NPI number 1962819706
LBN Legal business name Loman Moudry, Michelle
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2014
Last updated Aug 29th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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