Healthcare Provider Details

I. General information

NPI: 1316831175
Provider Name (Legal Business Name): PATRICIA LOUISE MOXEY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: PATRICIA LOUISE LYNCH

II. Dates (important events)

Enumeration Date: 06/05/2025
Last Update Date: 06/05/2025
Certification Date: 06/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 S HANSON ST STE 30
EASTON MD
21601-3078
US

IV. Provider business mailing address

6251 PERIWINKLE CT APT 302
CAMBRIDGE MD
21613-3895
US

V. Phone/Fax

Practice location:
  • Phone: 410-622-3202
  • Fax: 410-635-5144
Mailing address:
  • Phone: 410-463-4019
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number33246
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: