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NPI 1194615153

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

More MI providers

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.

Alexander Moskalow — NPI 1194615153, Edwardsburg, MI | NPI Central