Organization
DAVID C. MOYER, PHD., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID C MOYER PHD (PRESIDENT)
(860) 646-9660
Entity
Organization
Contact information
Practice address
200 MAIN ST, MANCHESTER, CT 06042-3581
(860) 646-9660
Mailing address
200 MAIN ST, MANCHESTER, CT 06042-3581
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0000858
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004009114
—
CT
Enumeration date
12/31/2010
Last updated
12/31/2010
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