Individual
DR. LORI RIGGIO MOORHEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
5369 CAMDEN AVE STE 230, SAN JOSE, CA 95124-5809
(408) 220-3576
Mailing address
5369 CAMDEN AVE STE 230, SAN JOSE, CA 95124-5809
(408) 220-3576
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY15963
CA
Other
Enumeration date
04/22/2013
Last updated
04/22/2013
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