NPI: 1205205747 · MT PLEASANT, MI 48858 · Clinical Psychologist · NPI assigned 09/15/2015
| Authorized Official | MOEGGENBERG, JEREMY (OWNER) |
| NPI Enumeration Date | 09/15/2015 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 12 | $1K |
| 2023 | 12 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90791 | Psychiatric diagnostic evaluation | 24 | 24 | $2K |