Mooney, Patricia A
Mooney, Patricia A is an sole proprietor health care provider with primary practice located at 3405 North Campbell Road Valparaiso, Valparaiso IN 46385. She recently has only one registered license in Behavioral Health & Social Service Providers / Family, which is considered as her primary health care specialty. Mooney, Patricia A can be contacted via phone (219) 462-1023.Contact Information
Primary practice address
3405 North Campbell Road Valparaiso
Valparaiso IN 46385
Phone: (219) 462-1023
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Family | 103TF0000X | 20041185A | Indiana |
Profile Details
| NPI number | 1205007127 |
|---|---|
| LBN Legal business name | Mooney, Patricia A |
| Credentials | PSY.D.H.S.P.P |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 19th, 2008 |
| Last updated | Oct 8th, 2013 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205007127 | NPPES |
| Indiana | MEDICAID | 200451640A |
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