Healthcare Provider Details

I. General information

NPI: 1023898673
Provider Name (Legal Business Name): NORA MUELLER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/02/2023
Last Update Date: 12/11/2023
Certification Date: 12/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 EMERYVILLE DR STE 230
CRANBERRY TWP PA
16066-5020
US

IV. Provider business mailing address

125 EMERYVILLE DR STE 230
CRANBERRY TWP PA
16066-5020
US

V. Phone/Fax

Practice location:
  • Phone: 724-609-5002
  • Fax: 724-299-8964
Mailing address:
  • Phone: 724-609-5002
  • Fax: 724-299-8964

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPS020047
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: