Individual
DR. JOAN MARIE MORIARTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
55 W MAPLE RD, SUITE 210, BIRMINGHAM, MI 48009-3303
(313) 562-0550
Mailing address
280 W MAPLE RD, STE 219, BIRMINGHAM, MI 48009-3349
(313) 562-0550
Taxonomy
Speciality
Code
Description
License number
State
103TA0700X
Adult Development & Aging Psychologist
6301002029
MI
103TC0700X
Clinical Psychologist
Primary
6301002029
MI
103TC2200X
Clinical Child & Adolescent Psychologist
6301002029
MI
103TF0000X
Family Psychologist
6301002029
MI
Other
Enumeration date
03/27/2007
Last updated
01/20/2019
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