Maxwell Moholy M.S.

NPI 1063802023 - Psychologist - 103T00000X

NPI Details
NPI 1063802023
Gender Male
Enumeration Date 01/29/2015
Last Updated 01/29/2015
Entity Type Individual
Active Over 1 year ago
Practice Location
3417 MERLIN DR
SUITE 102
IDAHO FALLS ID, 83404-7430, US
Phone (208) 552-0850
Fax
Business Location
1995 BENGAL VIEW DR
POCATELLO ID, 83201-4994, US
Phone (858) 405-5529
Fax
Toxanomy
Taxonomy Code 103T00000X
License State
License Number
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According to our database, Maxwell Moholy M.S. NPI is 1063802023, taxonomy code is 103T00000X Maxwell Moholy M.S. physically located at 3417 Merlin Dr, Idaho Falls ID, 83404-7430. NPI Number Maxwell Moholy M.S. has the Individual type.

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1063802023 NPI number is provided on an as is basis without warranty of any kind. 1063802023 is maintained by the National Plan & Provider Enumeration System. The contents of Maxwell Moholy M.S. are for informational purposes only.