Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DAVID R. MOUILLE, PH.D.
Active Sole ProprietorDR. DAVID R. MOUILLE, PH.D. is a Clinical Neuropsychologist healthcare provider located in SHAWNEE, Kansas. NPI 1134328420 is currently active in the NPPES registry. Verify at CMS.
Clinical Neuropsychologist · SHAWNEE, KS
Registration Details
- NPI Number
- 1134328420
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 16, 2007 (19.107766275476 yrs)
- Last Updated
- Jul 16, 2007
- Licenses
-
794 (KS)PYRO327 (MO)794 (KS)PYRO327 (MO)794 (KS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4786 BLACK SWAN DRSHAWNEE, KS, 662161235Browse KS providers · Browse ZIP 66216
- Phone
- 9139626810
- Fax
- 9139626810
- Primary Specialty
-
Clinical Neuropsychologist
103G00000X
- Additional Specialty
- Clinical Neuropsychologist
- Additional Specialty
- Addiction (Substance Use Disorder) Psychologist
- Additional Specialty
- Addiction (Substance Use Disorder) Psychologist
- Additional Specialty
- Cognitive & Behavioral Psychologist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.