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Individual

DR. GRETCHEN MICHELLE MOY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
18830 NW 10TH ST, PEMBROKE PINES, FL 33029-2925
(954) 298-8584
Mailing address
18830 NW 10TH ST, PEMBROKE PINES, FL 33029-2925
(954) 298-8584

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
103TA0700X
Adult Development & Aging Psychologist
103TB0200X
Cognitive & Behavioral Psychologist
103TC1900X
Counseling Psychologist
103TF0200X
Forensic Psychologist
103TH0004X
Health Psychologist

Other

Enumeration date
03/28/2012
Last updated
03/28/2012
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