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Glen Anthony Moeller
Clinical Psychologist in Oak Park, Illinois
NPI 1164130100

Glen Anthony Moeller is a Clinical Psychologist based in Lake Bluff, IL and is specialized in Clinical. Glen Anthony Moeller practices in Oak Park, IL. The NPI Number for Glen Anthony Moeller is 1164130100 and holds a License No. 101YM0800X (Illinois).

The current practice location address for Glen Anthony Moeller is 715 Lake St Ste 806, Oak Park, IL and can be reached out via phone at 773-312-3612. You can also correspond with Glen Anthony Moeller through the mailing address at 447 PARK LN, LAKE BLUFF, IL - 60044-2322 (mailing address contact number: 847-217-2460).

Location: 715 Lake St Ste 806, Oak Park, IL, 60044-2322
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164130100
Provider Name
Glen Anthony Moeller
Credential
Provider Entity Type
Individual
Gender
Male
Address
715 Lake St Ste 806, Oak Park, IL, 60044-2322
Phone Number
773-312-3612
Fax Number
Provider Enumeration Date
11/08/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
715 Lake St Ste 806
City
Oak Park
State
Illinois
Zip
60301-1417
Phone Number
773-312-3612
Fax Number
person
Provider Business Mailing Address Details
Address
715 Lake St Ste 806
City
Oak Park
State
Illinois
Zip
60301-1417
Phone Number
773-312-3612
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
101YM0800X (Illinois)
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
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