Individual
DR. MARY MORAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
85 5TH AVE, SUITES 909 AND 921, NEW YORK, NY 10003-3019
(212) 727-3150
Mailing address
PO BOX 750894, FOREST HILLS, NY 11375-0894
(212) 727-3150
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
013076
NY
Other
Enumeration date
04/30/2008
Last updated
04/30/2008
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