IndividualActive
Alexander Moskalow
NPI 1194615153 · Psychologist · Edwardsburg, MI
Provider details
- NPI number
- 1194615153
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 6351004808 (MI)
Practice location
66741 Maple Wood Dr
Edwardsburg, MI 49112-7604
Phone: (440) 334-8449
Mailing address
66741 Maple Wood Dr
Edwardsburg, MI 49112-7604
Registry dates
- Enumerated
- 2025-07-09
- Last updated
- 2025-07-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.