Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | PSY21275 | CA |
Y | 103TC0700X | Clinical Psychologist | PSY21275 | CA |
NPI | 1013036854 |
---|---|
Provider Name | Dr. Mindy Mueller |
First Address | Long Beach, CA 90813-3124 |
Second Address | Long Beach, CA 90813-3124 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/03/2007 |
Last Update Date | 20/02/2014 |