Whalio Doctors

NPI 1487768982

Matt Alan Mooradian, PSYD

Practitioner Clinical Psychologist Munster, IN

Practice location

Address
9245 Calumet Ave Suite 102, Munster, IN 46321-2821
Phone
(219) 836-3101
Fax
(219) 836-3102
Mailing address
3513 42nd St, Highland, IN 46322-3126

Registered specialties (2)

Clinical Psychologist Primary
Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 20040803A (IN)
Clinical Psychologist
Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 071-004894 (IL)

Registry record

NPI
1487768982
Entity type
Individual
Sex (as registered)
Male
NPI issued
19 Aug 2006
Record last updated
17 Mar 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.