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
Phone: (312) 400-9110
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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 19 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 | 1912930066 | NPPES |
| Illinois | Other | 016-71016 | BLUE CROSS BLUE SHIELD |
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