Moon, Dennise

Moon, Dennise is an individual health care provider with primary practice located at 444 Hegenberger Rd C/O Lighthouse Community Charter School, Oakland CA 94621-1418. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Moon, Dennise can be contacted via phone (510) 589-8367.

Contact Information

Primary practice address
444 Hegenberger Rd C/O Lighthouse Community Charter School Oakland CA 94621-1418
Phone: (510) 589-8367
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 26444 California

Profile Details

NPI number 1962569186
LBN Legal business name Moon, Dennise
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2007
Last updated Jun 16th, 2022 - about 2 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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