Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AMANDA MOULCHIN
ActiveSchool Psychologist · LAKE VILLA, IL
Registration Details
- NPI Number
- 1811553316
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 10, 2019 (6.9765505315845 yrs)
- Last Updated
- May 10, 2019
- License
-
1136070 (IL)
Practice Information
- Address
-
1600 EAGLE WAYLAKE VILLA, IL, 600467477Browse IL providers · Browse ZIP 60046
- Phone
- 8473959423
- Primary Specialty
-
School Psychologist
103TS0200X
Other School Psychologist Providers in LAKE VILLA, IL
| Name | Credential | NPI |
|---|---|---|
| KIMBERLY ANN RAUCHFUSS | SCHOOL PSYCHOLOGIST | 1962908236 |
| ERIC BORN | SCHOOL PSYCHOLOGIST | 1639735137 |
| THOMAS JOSEPH FORMAN | — | 1982373486 |
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.