Individual
DR. MICHELLE DENISE MORANCIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
6851 ROSWELL RD APT I10, ATLANTA, GA 30328-2476
(917) 991-4146
Mailing address
6851 ROSWELL RD APT I10, ATLANTA, GA 30328-2476
(917) 991-4146
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
012342
NY
103T00000X
Psychologist
Primary
PSY003862
GA
103TS0200X
School Psychologist
012342
NY
Other
Enumeration date
10/26/2006
Last updated
05/19/2020
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