Organization
BARBARA A. MOYNIHAN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA A MOYNIHAN (OWNER)
(888) 616-8536
Entity
Organization
Contact information
Practice address
1 S MAIN ST, BRANFORD, CT 06405-3872
(888) 616-8536
Mailing address
PO BOX 194, BRANFORD, CT 06405-0194
Taxonomy
Speciality
Code
Description
License number
State
103TP0016X
Prescribing (Medical) Psychologist
Primary
001038
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
890000164
MEDICARE ID
CT
Enumeration date
05/26/2016
Last updated
06/13/2016
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