Individual
DEBRA ANN MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., L.P.
Contact information
Practice address
975 34TH AVE NW, SUITE 215, ROCHESTER, MN 55901-6600
(507) 288-5818
(507) 424-1052
Mailing address
975 34TH AVE NW, SUITE 215, ROCHESTER, MN 55901-6600
(507) 288-5818
(507) 424-1052
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP4040
MN
103TC0700X
Clinical Psychologist
LP4040
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
125992
UCARE
MN
05
—
292516800
—
MN
01
—
43P87MO
BCBS OF MN
MN
01
—
921001026542
PREFERRED ONE
MN
01
—
HP31637
HEALTHPARTNERS
MN
Enumeration date
02/27/2007
Last updated
03/30/2017
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