Individual
DAVID MOYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
200 MAIN ST, MANCHESTER, CT 06042-3581
(860) 646-9660
(860) 643-4074
Mailing address
200 MAIN ST, MANCHESTER, CT 06042-3581
(860) 646-9660
(860) 643-4074
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
00858
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004009114
—
CT
01
—
060000858CT01
ANTHEM
CT
01
—
066401
VALUE OPTIONS
CT
01
—
189527
MHN
CT
01
—
4210626
AETNA
CT
01
—
82742
CIGNA
CT
01
—
P765675
OXFORD
CT
Enumeration date
10/24/2006
Last updated
02/07/2011
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