Moon, Andrew Michael

Moon, Andrew Michael is an sole proprietor health care provider with primary practice located at 1810 Leslie Ave , Alexandria VA 22301-1224. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Moon, Andrew Michael can be contacted via phone (703) 819-8303.

Contact Information

Primary practice address
1810 Leslie Ave Alexandria VA 22301-1224
Phone: (703) 819-8303
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 0810004755 Virginia

Profile Details

NPI number 1629440102
LBN Legal business name Moon, Andrew Michael
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 23rd, 2015
Last updated Oct 23rd, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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