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Individual

MARIA T MORAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
1135 OLD WEST CHOCOLATE AVE, STE 101, PENN STATE HERSHEY PHYSICAL MEDICINE & REHABILITATION, HUMMELSTOWN, PA 17036
(717) 531-7010
(717) 531-7102
Mailing address
PO BOX 858, HERSHEY, PA 17033-0858
(717) 531-7010
(717) 531-7102

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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