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NPI Code Detail

MEDICARE: SYONA MOORTHY

MEDICARE: SYONA MOORTHY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1245071398
Entity Type Code : Individual
Provider Name (Legal Business Name) : SYONA MOORTHY
Provider Business Mailing Address
First Line : 104 CAMINO PENASCO
Second Line :
City : EL PASO
State : TX
Zip : 79912-3438
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 81 HARTWELL AVE STE 310
Second Line :
City : LEXINGTON
State : MA
Zip : 02421-3177
Country : US
Telephone Number : 781-918-6869
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/03/2024
Last Update Date : 03/13/2026

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Directions to “ SYONA MOORTHY ” Practice Location

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