Individual
JAMES S MORAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
621 FOREST AVE, STE 2C, PACIFIC GROVE, CA 93950-4264
(831) 373-1499
(831) 375-1030
Mailing address
621 FOREST AVE, STE 2C, PACIFIC GROVE, CA 93950-4264
(831) 373-1499
(831) 375-1030
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PSY7771
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PSY7771
STATE LICENSE
CA
Enumeration date
07/14/2006
Last updated
07/08/2007
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