Provider Demographics
NPI:1952450124
Name:MUEHLBERGER, PATRICIA ANN (MS, LPC)
Entity Type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:ANN
Last Name:MUEHLBERGER
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1338 S FAIRWAY AVE
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65804-0211
Mailing Address - Country:US
Mailing Address - Phone:417-844-0524
Mailing Address - Fax:
Practice Address - Street 1:332 S SPRINGFIELD AVE
Practice Address - Street 2:SUITE 3
Practice Address - City:BOLIVAR
Practice Address - State:MO
Practice Address - Zip Code:65613-2041
Practice Address - Country:US
Practice Address - Phone:417-777-4057
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2004037137101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health