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Contact Information

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

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
 

Adult Development & Aging

103TA0700X 62 Psychologist, Clinical
 

Clinical

103TC0700X 62 Psychologist, Clinical
 

Clinical Child & Adolescent

103TC2200X 62 Psychologist, Clinical
 

Cognitive & Behavioral

103TB0200X 62 Psychologist, Clinical
 

Counseling

103TC1900X 62 Psychologist, Clinical
 

Family

103TF0000X 62 Psychologist, Clinical
 

Forensic

103TF0200X 62 Psychologist, Clinical
 

Psychoanalysis

103TP0814X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for MICHAEL J MOLLER PA

NPI Number 1992000657
LBN Legal business name MICHAEL J MOLLER PA
Authorized official MICHAEL MOLLER - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/11/2011
Last updated 01/11/2011 - About 15 years ago
Identifiers
MN License # LP3404
WI License # 2320-057
MN Medicaid 880824400
WI Medicaid 39739300
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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