Moon, Richard David

Moon, Richard David is an sole proprietor health care provider with primary practice located at 1106 North Ave , Bridgeport CT 06604-2710. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Moon, Richard David can be contacted via phone (203) 579-6131.

Contact Information

Primary practice address
1106 North Ave Bridgeport CT 06604-2710
Phone: (203) 579-6131
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 001589 Connecticut

Profile Details

NPI number 1942508734
LBN Legal business name Moon, Richard David
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 3rd, 2011
Last updated Mar 3rd, 2011 - about 15 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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