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General NPI Number Information
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NPI Number | 1851509947
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Entity Type | Individual
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Provider Name | MEGHAN MOODY PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 05/20/2007
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Last Update Date | 09/09/2020
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Provider Practice Location Address
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Address Line | 23801 CALABASAS RD STE 2036
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City | CALABASAS
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State | CA
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Zip | 91302-3462
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Country | US
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Telephone | 818-425-4411
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Fax | 844-228-0533
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Provider Business Mailing Address
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Address Line | 23801 CALABASAS RD STE 2036
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City | CALABASAS
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State | CA
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Zip | 91302-3462
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Country | US
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Telephone | 818-425-4411
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Fax | 844-228-0533
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PSY21354
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | PSY21354
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY21354
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License Number State | CA
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