| Lillian M. Moeller, Ph.d., P.c. | |
|
10 Boulder Crescent St Ste 101b Colorado Springs CO 80903-3344 | |
| (719) 442-6955 | |
| (719) 442-6947 |
| Full Name | Lillian M. Moeller, Ph.d., P.c. |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 10 Boulder Crescent St Ste 101b, Colorado Springs, Colorado |
| Authorized Official Name and Position | Lillian M. Moeller (OWNER) |
| Authorized Official Contact | 7194426955 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lillian M. Moeller, Ph.d., P.c. 10 Boulder Crescent St Ste 101b Colorado Springs CO 80903-3344 Ph: (719) 442-6955 | Lillian M. Moeller, Ph.d., P.c. 10 Boulder Crescent St Ste 101b Colorado Springs CO 80903-3344 Ph: (719) 442-6955 |
| NPI Number | 1396996484 |
|---|---|
| Provider Enumeration Date | 10/07/2008 |
| Last Update Date | 12/29/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396996484 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | 1558 (Colorado) | Primary |
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