Individual
DAVID MOYER
Active
Individual
DAVID MOYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
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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