Moon, Debbie G

Moon, Debbie G is an individual health care provider with primary practice located at 722 Shepard Ln Ste 101 , Farmington UT 84025-3845. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Moon, Debbie G can be contacted via phone (801) 837-3228.

Contact Information

Primary practice address
722 Shepard Ln Ste 101 Farmington UT 84025-3845
Phone: (801) 837-3228
Fax: (888) 778-2417
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 5484887-3904 Utah

Profile Details

NPI number 1992012504
LBN Legal business name Moon, Debbie G
Credentials AMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2010
Last updated Mar 10th, 2011 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1992012504 NPPES
Utah MEDICAID 1629381355

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