Mooney Consulting Pllc | |
7200 France Ave S Suite 224 Edina MN 55435-4300 | |
(952) 831-0422 | |
(952) 831-0443 |
Full Name | Mooney Consulting Pllc |
---|---|
Speciality | Psychologist - Clinical |
Location | 7200 France Ave S, Edina, Minnesota |
Authorized Official Name and Position | Marc Edward Mooney (CLINICAL PSYCHOLOGIST) |
Authorized Official Contact | 6129916875 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Mooney Consulting Pllc 2505 Benjamin St Ne Minneapolis MN 55418-4003 Ph: (612) 991-6875 | Mooney Consulting Pllc 7200 France Ave S Suite 224 Edina MN 55435-4300 Ph: (952) 831-0422 |
NPI Number | 1033484951 |
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Provider Enumeration Date | 03/09/2012 |
Last Update Date | 03/09/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033484951 | NPI | - | NPPES |
987635000 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 4773 (Minnesota) | Primary |
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