Individual
DR. GREGORY MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
8079 N 85TH WAY, SCOTTSDALE, AZ 85258-4321
(480) 261-5015
Mailing address
5982 W TULSA ST, CHANDLER, AZ 85226-2713
(602) 421-2340
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LAC-18841
AZ
Other
Enumeration date
04/22/2022
Last updated
04/22/2022
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