Individual
DR. JONINA L MOSKOWITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
297 INDEPENDENCE BLVD, PEMBROKE SIX, STE. 212, VIRGINIA BEACH, VA 23462-2911
(757) 285-0640
(757) 473-2104
Mailing address
297 INDEPENDENCE BLVD, PEMBROKE SIX, STE. 212, VIRGINIA BEACH, VA 23462-2911
(757) 285-0640
(757) 473-2104
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810002586
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1053493212
OPTIMA BEHAVIORAL HEALTH
—
05
—
1053493213
—
VA
01
—
460005
MANAGED HEALTH NETWORK
—
Enumeration date
10/19/2006
Last updated
11/13/2011
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