Individual
DR. MARCIA LYNN MORIARTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
2211 LOMAS NE, ALBUQUERQUE, NM 87131
(505) 272-8950
(505) 272-3202
Mailing address
800 BRADBURY DR SE STE 116, ALBUQUERQUE, NM 87106-4310
(505) 272-1476
(505) 272-3202
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0842
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106844
—
AZ
Enumeration date
08/19/2006
Last updated
09/26/2024
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