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NPI Code Detail

MEDICARE: DR. AMY N MOONEY PH.D., LMHC

MEDICARE:  DR. AMY N MOONEY  PH.D., LMHC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor00933IA

General Provider Information

NPI Number : 1841585734
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. AMY N MOONEY PH.D., LMHC
Provider Business Mailing Address
First Line : 809 WHEELER ST STE 110
Second Line : BOX 380
City : AMES
State : IA
Zip : 50010-4367
Country : US
Telephone Number : 515-450-1989
Fax Number :
Provider Business Practice Location Address
First Line : 1103 BUCKEYE AVE
Second Line : SUITE 104
City : AMES
State : IA
Zip : 50010-8120
Country : US
Telephone Number : 515-337-1380
Fax Number : 855-377-6321
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/18/2011
Last Update Date : 08/05/2015

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Directions to “ DR. AMY N MOONEY PH.D., LMHC” Practice Location

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