Amanda Moulchin
NPI #1811553316 in Lake Villa, Illinois
Provider Information
- NPI Number
- 1811553316
- Entity Type
- Individual
- Name
- Amanda Moulchin
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Psychologist - School
- Enumeration Date
- May 10, 2019
- Last Updated
- May 10, 2019
Practice Location
- Address
- 1600 EAGLE WAY
- City
- Lake Villa
- State
- Illinois
- ZIP Code
- 60046-7477
- Phone
- (847) 395-9423
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - School — School |
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