| Matt Mooradian,psy,d. P.c. | |
|
9245 Calumet Ave Suite 102 Munster IN 46321-2821 | |
| (219) 836-3101 | |
| Not Available |
| Full Name | Matt Mooradian,psy,d. P.c. |
|---|---|
| Speciality | Psychologist |
| Location | 9245 Calumet Ave, Munster, Indiana |
| Authorized Official Name and Position | Matt Mooradian (PSYCHOLOGIST) |
| Authorized Official Contact | 2198363101 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Matt Mooradian,psy,d. P.c. 9245 Calumet Ave Suite 102 Munster IN 46321-2821 Ph: () - | Matt Mooradian,psy,d. P.c. 9245 Calumet Ave Suite 102 Munster IN 46321-2821 Ph: (219) 836-3101 |
| NPI Number | 1275794869 |
|---|---|
| Provider Enumeration Date | 06/17/2008 |
| Last Update Date | 03/17/2009 |
| Medicare PECOS PAC ID | 5799836714 |
|---|---|
| Medicare Enrollment ID | O20090701000556 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275794869 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 20040803 (Indiana) | Primary |
| Provider Name | Matt A Mooradian |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1487768982 PECOS PAC ID: 4082765003 Enrollment ID: I20091005000563 |
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