Organization
DR.MOON PSYCHOLOGY CENTER
Active
Organization
DR.MOON PSYCHOLOGY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEONGMI MOON (PSYCHOLOGIST)
(619) 736-0333
Entity
Organization
Contact information
Practice address
5050 LOTUS ST APT 28, SAN DIEGO, CA 92107-1373
(619) 674-9764
Mailing address
5050 LOTUS STREET, APT 28, SAN DIEGO, CA 92107
(619) 674-9764
Taxonomy
Speciality
Code
Description
License number
State
101200000X
Drama Therapist
—
—
101YM0800X
Mental Health Counselor
—
—
103G00000X
Clinical Neuropsychologist
—
—
103T00000X
Psychologist
—
—
103TA0700X
Adult Development & Aging Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
—
—
103TC1900X
Counseling Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TF0000X
Family Psychologist
—
—
103TF0200X
Forensic Psychologist
—
—
103TP0814X
Psychoanalysis Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
251K00000X
Public Health or Welfare Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/13/2023
Last updated
12/28/2023
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