Individual
DR. DAVID ROBERT MOYERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1300 RIDENOUR BLVD NW, KENNESAW, GA 30152-4501
(470) 955-2888
Mailing address
PO BOX 4273, COLUMBUS, GA 31914-0273
(470) 955-2888
(706) 327-9082
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
1531
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00683009A
—
GA
Enumeration date
08/27/2005
Last updated
04/01/2024
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