Moon, Nathan Robert

Moon, Nathan Robert is an individual health care provider with primary practice located at Psc 42 , Fpo AP 96367. He 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 his primary health care specialty. Moon, Nathan Robert can be contacted via phone (315) 634-2747.

Contact Information

Primary practice address
Psc 42 Fpo AP 96367
Phone: (315) 634-2747
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 1328 New Mexico
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY1328 New Mexico

Profile Details

NPI number 1508265067
LBN Legal business name Moon, Nathan Robert
Credentials MA, PSYD, ABPP.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2014
Last updated Jul 6th, 2023 - about last year

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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