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Contact Information

MICHAEL J MOLLER, PSYD
900 6TH ST N
102
HUDSON, WI54016-7171
 Phone: 715-386-0856
 Fax: 715-386-0948
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Clinical Child & Adolescent

103TC2200X 62 Psychologist, Clinical
 

Family

103TF0000X 62 Psychologist, Clinical
 

Forensic

103TF0200X 62 Psychologist, Clinical
 

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for MICHAEL J MOLLER · (Male)

NPI # 1578647004
Status Active
Credentials PSYD (Doctor of Psychology)
Entity Individual
Enumeration date 10/24/2006
Last updated 09/28/2010 - About 16 years ago
Sole proprietor 1 Yes
Identifiers
  • WI License # 2320
  • MN Medicaid 880824400
  • WI Medicaid 39739300
  • Other 20558-03 BEHAVIOR HEALTH PROVIDERS
  • Other 01413 COMPCARE
  • Other SSN HEALTHNET / TRICARE
  • Other 1202109 16675 MAGELLEN
  • Other 115830 UCARE
  • MN Other 431R2MO BCBS
  • MN Other 439K4MO BCBS
  • MN Other 036J4MO BCBS MN PRO FEE
  • MN Other HP20346 HEALTHPARTNERS
  • MN Other 61-74465 MEDICA / UBH
  • MN Other NA9031027526 PREFERRED ONE
  • WI Other SSN001 ANTHEM BLUE CROSS OF WI
  • WI Other 2172193 COMPSYCH
  • WI Other 01413 GROUP HEALTH
  • WI Other 61-74465 UBH
  • WI Other 39739300 WISCONSIN MEDICAL ASSISTANCE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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