Individual
DR. THERESE M. MORIARTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1950 SAWTELLE BLVD STE 342, LOS ANGELES, CA 90025-7074
(323) 702-0735
Mailing address
1950 SAWTELLE BLVD STE 342, LOS ANGELES, CA 90025-7074
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PSY24415
CA
Other
Enumeration date
09/26/2011
Last updated
03/11/2014
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