Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Individual
GREGORY P MOODY
Active
Individual
GREGORY P MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LADC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
CAC6402
ME
101Y00000X
Counselor
Primary
LC7576
ME
Other
Enumeration date
05/24/2019
Last updated
05/27/2021
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