Moyerman, David Robert

Moyerman, David Robert is an sole proprietor health care provider with primary practice located at 1300 Ridenour Blvd Nw , Kennesaw GA 30152-4501. He recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as his primary health care specialty. Moyerman, David Robert can be contacted via phone (470) 955-2888.

Contact Information

Primary practice address
1300 Ridenour Blvd Nw Kennesaw GA 30152-4501
Phone: (470) 955-2888
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X 1531 Georgia

Profile Details

NPI number 1629061338
LBN Legal business name Moyerman, David Robert
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 27th, 2005
Last updated Apr 1st, 2024 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1629061338 NPPES
Georgia MEDICAID 00683009A

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