Hubbard, Moira A
Hubbard, Moira A is an sole proprietor health care provider with primary practice located at 2395 Oak Valley Dr Suite 100, Ann Arbor MI 48103-8943. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Hubbard, Moira A can be contacted via phone (734) 995-5181.Contact Information
Primary practice address
2395 Oak Valley Dr Suite 100
Ann Arbor MI 48103-8943
Phone: (734) 995-5181
Fax: (734) 995-9011
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 63001008483 | Michigan |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY 22353 | California |
Profile Details
| NPI number | 1093719544 |
|---|---|
| LBN Legal business name | Hubbard, Moira A |
| Credentials | PSY. D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 10th, 2005 |
| Last updated | Feb 3rd, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093719544 | NPPES |
| Michigan | Other | 5735074 | AETNA |
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