Moya, Ralph L.

Moya, Ralph L. is an sole proprietor health care provider with primary practice located at 419 S. 2Nd Street P.O. Box 392, Tucumcari NM 88401-0392. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Moya, Ralph L. can be contacted via phone (505) 306-6064.

Contact Information

Primary practice address
419 S. 2Nd Street P.O. Box 392 Tucumcari NM 88401-0392
Fax: (505) 306-6064
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 2596 New Mexico
Behavioral Health & Social Service Providers / Clinical 1041C0700X I-0930 New Mexico

Profile Details

NPI number 1598759912
LBN Legal business name Moya, Ralph L.
Credentials LISW/LPCC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 31st, 2005
Last updated Nov 27th, 2017 - about 7 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 1598759912 NPPES
New Mexico MEDICAID 95411

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