Provider Demographics
NPI:1548008329
Name:MULDOON, REBECCA (NBC-HWC)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:
Last Name:MULDOON
Suffix:
Gender:F
Credentials:NBC-HWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 HEMLOCK DR
Mailing Address - Street 2:
Mailing Address - City:MARLBOROUGH
Mailing Address - State:CT
Mailing Address - Zip Code:06447-1047
Mailing Address - Country:US
Mailing Address - Phone:860-878-4441
Mailing Address - Fax:
Practice Address - Street 1:21 HEMLOCK DR
Practice Address - Street 2:
Practice Address - City:MARLBOROUGH
Practice Address - State:CT
Practice Address - Zip Code:06447-1047
Practice Address - Country:US
Practice Address - Phone:860-878-4441
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-17
Last Update Date:2024-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach
No174H00000XOther Service ProvidersHealth Educator