Healthcare Provider Details

I. General information

NPI: 1528345865
Provider Name (Legal Business Name): KATINA MOYER M.ED
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/15/2011
Last Update Date: 01/03/2025
Certification Date: 01/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

144 INDEPENDENCE DR
MORRISVILLE PA
19067-4912
US

IV. Provider business mailing address

1275 TAYLORSVILLE RD
WASHINGTON CROSSING PA
18977-1003
US

V. Phone/Fax

Practice location:
  • Phone: 215-939-0966
  • Fax: 215-428-1582
Mailing address:
  • Phone: 215-939-0966
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: