Moonstarr, Nancy Joan
Moonstarr, Nancy Joan is an sole proprietor health care provider with primary practice located at 4 Riverview Rd , Severna Park MD 21146-4630. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Moonstarr, Nancy Joan can be contacted via phone (410) 431-8870.Contact Information
Primary practice address
4 Riverview Rd
Severna Park MD 21146-4630
Phone: (410) 431-8870
Fax: (410) 431-7177
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PSY1000166 | District of Columbia |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LC0408 | Maryland |
Profile Details
| NPI number | 1982779674 |
|---|---|
| LBN Legal business name | Moonstarr, Nancy Joan |
| Credentials | PHD & LPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 21st, 2006 |
| Last updated | Dec 22nd, 2008 - about 17 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 | 1982779674 | NPPES |
| District of Columbia | Other | PSY1000166 | PSYCHOLOGIST LICENSE |
| District of Columbia | MEDICAID | 188103500 | PSYCHOLOGIST LICENSE |
| District of Columbia | Other | LC0408 | PSYCHOLOGIST LICENSE |
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