Individual
DR. SAMUEL MOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
7 REXINGER LN, AVON, CT 06001-2340
(860) 704-6188
Mailing address
7 REXINGER LN, AVON, CT 06001-2340
(860) 704-6188
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1478
CT
Other
Enumeration date
02/14/2007
Last updated
07/08/2007
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