Individual
DOMINGA TERESA MOYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1180 E 1ST AVE, CHICO, CA 95926-2404
(530) 521-8869
Mailing address
1180 E 1ST AVE, CHICO, CA 95926-2404
(530) 521-8869
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
4034
CA
103TB0200X
Cognitive & Behavioral Psychologist
4034
CA
103TC1900X
Counseling Psychologist
4034
CA
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
4034
CA
Other
Enumeration date
07/09/2024
Last updated
07/09/2024
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