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Individual

DR. KIMBERLY JO MORAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
205 WESTFIELD RD, NOBLESVILLE, IN 46060-1424
(317) 770-2841
Mailing address
395 WESTFIELD RD, NOBLESVILLE, IN 46060-1425
(317) 773-0760

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20042261A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200947230
IN
Enumeration date
07/29/2008
Last updated
07/21/2021
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