Individual
DR. DIANE M MORAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
4833 DARROW RD STE 100, STOW, OH 44224-1411
(330) 422-3255
(330) 422-3256
Mailing address
4833 DARROW RD STE 100, STOW, OH 44224-1411
(330) 422-3255
(330) 422-3256
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
5736
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2298964
—
OH
Enumeration date
10/11/2006
Last updated
08/03/2022
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