Moehler, Gerda Therese

Moehler, Gerda Therese is an sole proprietor health care provider with primary practice located at 101 S Pine St Suite #2, Mt Prospect IL 60056-3133. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Moehler, Gerda Therese can be contacted via phone (312) 400-9110.

Contact Information

Primary practice address
101 S Pine St Suite #2 Mt Prospect IL 60056-3133
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X Illinois

Profile Details

NPI number 1912930066
LBN Legal business name Moehler, Gerda Therese
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 9th, 2006
Last updated Jul 8th, 2007 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1912930066 NPPES
Illinois Other 016-71016 BLUE CROSS BLUE SHIELD

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