Individual
DR. RICHARD DAVID MOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1106 NORTH AVE, BRIDGEPORT, CT 06604-2710
(203) 579-6131
Mailing address
4 CLINTON TER, WESTPORT, CT 06880-6019
(203) 222-1192
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
001589
CT
Other
Enumeration date
03/03/2011
Last updated
03/03/2011
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