Healthcare Provider Details

I. General information

NPI: 1306121918
Provider Name (Legal Business Name): PATRICIA MOISE LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/14/2011
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 THE GRN STE 15918
DOVER DE
19901-3618
US

IV. Provider business mailing address

534 HUGH CIR
TOWNSEND DE
19734-2400
US

V. Phone/Fax

Practice location:
  • Phone: 302-314-9469
  • Fax:
Mailing address:
  • Phone: 302-981-1437
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberFA-0000006
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: