Provider Demographics
NPI:1588804033
Name:MUELLER, ARENA M (PSYD)
Entity Type:Individual
Prefix:DR
First Name:ARENA
Middle Name:M
Last Name:MUELLER
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4367 MOSER LN
Mailing Address - Street 2:
Mailing Address - City:PERRYSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43551-7188
Mailing Address - Country:US
Mailing Address - Phone:630-747-4238
Mailing Address - Fax:
Practice Address - Street 1:422 CONKLIN HALL
Practice Address - Street 2:BOWLING GREEN STATE UNIVERSITY
Practice Address - City:BOWLING GREEN
Practice Address - State:OH
Practice Address - Zip Code:43403
Practice Address - Country:US
Practice Address - Phone:419-372-2081
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-24
Last Update Date:2009-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180005222101YM0800X
OH6448103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health