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DR. CATHERINE E. MOON PHD

Clinical >> Psychologist >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1578728523

Individual Registrant:
DR. CATHERINE E. MOON PHD
Gender: F
Sole Proprietor

Location and contact information for practice:
94 N HALL ST  LABELLE, FL 33935-5250 US
Tel: 863-675-5005  Fax: 863-675-5005

Contact information for business:
PO BOX 478  LABELLE, FL 33975-0478 US
Tel: 863-675-5005  Fax: 863-675-5005

Registration Information:
NPI: 1578728523
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103TC0700XBehavioral Health & Social Service Providers
Psychologist
Clinical
FLPY5973

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
MEDICARE PART B SUPPLIER NUMBER54465FL01




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