Eugene Richard Moan in Flagstaff - Psychologist
Eugene Richard Moan - NPI 1689762700
Eugene Richard Moan is a Psychologist in Flagstaff, Arizona. Eugene Richard Moan practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Eugene Richard Moan is 1689762700. The last update date is 2007-07-08.
Eugene Richard Moan's current location address is 42 Pine Cone Dr, Flagstaff, Arizona. You can contact this provider via phone number 9285239604. The mailing address for Eugene Richard Moan is 42 Pine Cone Dr, Flagstaff, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Eugene Richard Moan |
|---|---|
| Address | 42 Pine Cone Dr, Flagstaff, Arizona |
| Phone Number | 9285239604 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | ED.D. |
NPI Number Detail
| NPI Number | 1689762700 |
|---|---|
| Provider Enumeration Date | 2006-10-11 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 42 Pine Cone Dr |
|---|---|
| City | Flagstaff |
| State | Arizona (AZ) |
| Post Code | 860019605 |
| Phone Number | 9285239604 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 927 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| AZ0133340 | AZ | BLUE CROSS/BLUE SHIELD OF |
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What is the unique 10-digit identifier code issued to Eugene Richard Moan by the Centers for Medicare & Medicaid Services?
The Eugene Richard Moan has been assigned the NPI (National Provider Identifier) 1689762700 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Eugene Richard Moan is geographically located?
The Eugene Richard Moan is physically situated at the following location: 42 Pine Cone Dr, Flagstaff, AZ, 860019605.
What is Eugene Richard Moan's specialized field of practice, and what is the corresponding taxonomy classification code?
The Eugene Richard Moan's area of specialization is Psychologist, and the corresponding taxonomy code that categorizes this field of practice is 103T00000X.
When did Eugene Richard Moan receive its 1689762700 assignment?
The Eugene Richard Moan was assigned its 1689762700 on 2006-10-11, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Eugene Richard Moan last refreshed?
The information related to the Eugene Richard Moan, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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