Individual
MOIRA A HUBBARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY. D.
Contact information
Practice address
2395 OAK VALLEY DR, SUITE 100, ANN ARBOR, MI 48103-8943
(734) 995-5181
(734) 995-9011
Mailing address
2395 OAK VALLEY DR, SUITE 100, ANN ARBOR, MI 48103-8943
(734) 995-5181
(734) 995-9011
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
63001008483
MI
103TC0700X
Clinical Psychologist
PSY 22353
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5735074
AETNA
MI
Enumeration date
06/10/2005
Last updated
02/03/2011
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