Most Relevant Information
Provider Data
| NPI Number: | 1003513052 |
| Provider Name: | NELLIE MOUALEU PHD |
| Entity Type: | Individual |
| Taxonomy Code: | 103T00000X |
| Specialty: | Psychologist |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/10/2023 |
| Last Updated: | 02/10/2023 |
Provider Practice Location
3901 RAINBOW BLVD
KANSAS CITY
KS
661608500
Practice Location Phone/Fax
| Phone: | 9135881300 |
| Fax: |
Provider Mailing Location
2108 LEXINGTON AVE APT O
KANSAS CITY
MO
641241635
Provider Mailing Phone/Fax
| Phone: | 2147788628 |
| Fax: |