Moran, Todd Francis

Moran, Todd Francis is an sole proprietor health care provider with primary practice located at 308 4Th Ave Nw , Austin MN 55912-3140. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is his primary health care specialty. Moran, Todd Francis can be contacted via phone (507) 438-2010.

Contact Information

Primary practice address
308 4Th Ave Nw Austin MN 55912-3140
Phone: (507) 438-2010
Fax: (507) 434-0955
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Behavioral Health & Social Service Providers / Social Worker 104100000X 15984 Minnesota

Profile Details

NPI number 1285767590
LBN Legal business name Moran, Todd Francis
Credentials PHD, LICSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 14th, 2007
Last updated Aug 26th, 2020 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1285767590 NPPES
Minnesota MEDICAID 12345678
Minnesota MEDICAID 452809300

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