Organization
MICHELLE P. MORAN, PH.D.,P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHELLE P MORAN (OWNER)
(210) 333-4755
Entity
Organization
Contact information
Practice address
219 E LOCUST ST, SAN ANTONIO, TX 78212-3955
(210) 333-4755
(210) 333-1833
Mailing address
219 E LOCUST ST, SAN ANTONIO, TX 78212-3955
(210) 333-4755
(210) 333-1833
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3265
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
032702501
—
TX
Enumeration date
04/21/2011
Last updated
04/21/2011
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