Doctor Name: | MRS. PEGGY SCHNURR MUELLE |
NPI Number: | 1023280005 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A., LPC |
License Number: | 6401006633 |
Business Practice Address: | 18090 Mack Ave Grosse Pointe, MI - 482306251 |
Business Phone Number: | 3133189615 |
Business Fax Number: | 3138819615 |
Mailing Address: | 856 Rivard Blvd, GROSSE POINTE |
State: | MI |
Postal Code: | 482301257 |
Phone Number: | 3133189615 |
Fax Number: | 3138819615 |
NPI Enumeration Date: | 03/30/2008 |
NPI Last Update Date: | 03/30/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 6401006633 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |