Moulton, Krista A
Moulton, Krista A is an individual health care provider with primary practice located at 4040 Memorial Pkwy Sw , Huntsville AL 35802-4364. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Moulton, Krista A can be contacted via phone (256) 705-6420.Contact Information
Primary practice address
4040 Memorial Pkwy Sw
Huntsville AL 35802-4364
Phone: (256) 705-6420
Fax: (256) 705-6477
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 1982C | Alabama |
Profile Details
| NPI number | 1982755633 |
|---|---|
| LBN Legal business name | Moulton, Krista A |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 16th, 2007 |
| Last updated | Feb 1st, 2008 - about 16 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 | 1982755633 | NPPES |
| Alabama | Other | 51537000 | BCBS OF ALABAMA |
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