Individual
JOSE LUIS MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1670 UPHAM DR, COLUMBUS, OH 43210-1250
(614) 293-9600
(614) 366-1215
Mailing address
700 ACKERMAN RD STE 2100, COLUMBUS, OH 43202-1559
(614) 293-9600
(614) 366-1215
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
P.7510
OH
103TH0004X
Health Psychologist
Primary
7510
OH
Other
Enumeration date
09/14/2016
Last updated
05/05/2026
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