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NPI Code Detail

MEDICARE: NATASHA NICHOLE MORALES-RIVERA PHD

MEDICARE:   NATASHA NICHOLE MORALES-RIVERA  PHD
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
1103TC0700XClinical Psychologist0810009071VA

General Provider Information

NPI Number : 1417527573
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATASHA NICHOLE MORALES-RIVERA PHD
Provider Business Mailing Address
First Line : 9055 E CATALINA HWY APT 13207
Second Line :
City : TUCSON
State : AZ
Zip : 85749-7427
Country : US
Telephone Number : 520-228-4357
Fax Number :
Provider Business Practice Location Address
First Line : DAVIS MONTHAN AFB
Second Line :
City : APO
State : AA
Zip : 85708
Country : US
Telephone Number : 520-228-4357
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2021
Last Update Date : 04/09/2026

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Directions to “ NATASHA NICHOLE MORALES-RIVERA PHD” Practice Location

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