Healthcare Provider Details

I. General information

NPI: 1417527573
Provider Name (Legal Business Name): NATASHA NICHOLE MORALES-RIVERA PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2021
Last Update Date: 04/09/2026
Certification Date: 04/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

DAVIS MONTHAN AFB
APO AA
85708
US

IV. Provider business mailing address

9055 E CATALINA HWY APT 13207
TUCSON AZ
85749-7427
US

V. Phone/Fax

Practice location:
  • Phone: 520-228-4357
  • Fax:
Mailing address:
  • Phone: 520-228-4357
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number0810009071
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: