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NPI Code Detail

MEDICARE: DR. CLARA MOLLER PSYD

MEDICARE:  DR. CLARA  MOLLER  PSYD
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
1103T00000XPsychologist

General Provider Information

NPI Number : 1073456117
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CLARA MOLLER PSYD
Provider Business Mailing Address
First Line : 1505 W GRANVILLE AVE APT 2
Second Line :
City : CHICAGO
State : IL
Zip : 60660-1866
Country : US
Telephone Number : 412-969-3126
Fax Number :
Provider Business Practice Location Address
First Line : 1509 W BERWYN AVE STE 208
Second Line :
City : CHICAGO
State : IL
Zip : 60640-8060
Country : US
Telephone Number : 773-654-3322
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2026
Last Update Date : 04/13/2026

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Directions to “ DR. CLARA MOLLER PSYD” Practice Location

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