Individual
DR. GREGORY EUGENE MOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD, NCSP
Contact information
Practice address
3730 RENTON AVE S, SEATTLE, WA 98144-6819
(206) 580-3723
Mailing address
3730 RENTON AVE S, SEATTLE, WA 98144-6819
(206) 580-3723
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY61068382
WA
103T00000X
Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
PY61068382
WA
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TS0200X
School Psychologist
PY61068382
WA
103TS0200X
School Psychologist
—
—
Other
Enumeration date
11/16/2021
Last updated
11/16/2021
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