MEDICARE: DEBORAH MOYER MA, LMFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	86357	CA

General Provider Information

NPI Number	:	1225412315
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBORAH MOYER MA, LMFT

Provider Business Mailing Address
First Line	:	PO BOX 502566
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92150-2566
Country	:	US
Telephone Number	:	858-731-6013
Fax Number	:

Provider Business Practice Location Address
First Line	:	11440 W BERNARDO CT
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92127-1641
Country	:	US
Telephone Number	:	858-731-6013
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/17/2015
Last Update Date	:	07/17/2015

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