Individual
DR. SAMUEL MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
4600 3RD ST, MOLINE, IL 61265-6106
(309) 779-7552
Mailing address
4602 3RD ST, MOLINE, IL 61265-6106
(309) 779-2031
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
71003237
BLUE CROSS ILLINOIS
IL
01
—
IL01A6
JOHN DEERE NUMBER
IL
Enumeration date
08/26/2005
Last updated
07/08/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us