Individual
DR. MICHAEL RICHARD MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
VETERANS HOSPITAL, 50 IRVING ST., WASHINGTON, DC 20422-0001
(202) 745-8000
Mailing address
1709 WARNER AVE, MCLEAN, VA 22101-5042
(703) 790-8716
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810002547
VA
Other
Enumeration date
10/10/2006
Last updated
07/12/2010
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