Moon, Mallory L

Moon, Mallory L is an sole proprietor health care provider with primary practice located at 500 Fesler St Ste 208 , El Cajon CA 92020-1946. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Moon, Mallory L can be contacted via phone (619) 440-4211.

Contact Information

Primary practice address
500 Fesler St Ste 208 El Cajon CA 92020-1946
Phone: (619) 440-4211
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 31108 California
Behavioral Health & Social Service Providers / Clinical 103TC0700X 31108 California

Profile Details

NPI number 1205496932
LBN Legal business name Moon, Mallory L
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 14th, 2019
Last updated Aug 26th, 2019 - about 6 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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