Individual
MARIA T MORAN
Active
Individual
MARIA T MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
826
WV
103TC0700X
Clinical Psychologist
Primary
PS017978
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9203052000
—
WV
01
—
CA7344
RAILROAD MEDICARE GROUP #
WV
01
—
P00109680
RAILROAD MEDICARE
WV
Enumeration date
02/13/2006
Last updated
01/06/2016
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