Individual
DR. KATHRYN THERESA MOFFA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
CHOC CHILDREN'S SPECIALISTS 1201 W. LA VETA AVE., ORANGE, CA 92868-4203
(888) 770-2462
Mailing address
CHOC CHILDREN'S SPECIALISTS 1201 W. LA VETA AVE., ORANGE, CA 92868-4203
(888) 770-2462
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
34626
CA
103TH0100X
Health Service Psychologist
11412
MA
Other
Enumeration date
09/15/2020
Last updated
10/30/2023
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