MEDICARE: MR. WESLEY JAY MOONE L.P.A.

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	103TC0700X	Clinical Psychologist	1437	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1467663013
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. WESLEY JAY MOONE L.P.A.

Provider Business Mailing Address
First Line	:	5509 MONROE RD
Second Line	:	SUITE 203
City	:	CHARLOTTE
State	:	NC
Zip	:	28212-5503
Country	:	US
Telephone Number	:	704-535-4143
Fax Number	:	704-568-8927

Provider Business Practice Location Address
First Line	:	5509 MONROE RD
Second Line	:	SUITE 203
City	:	CHARLOTTE
State	:	NC
Zip	:	28212-5503
Country	:	US
Telephone Number	:	704-535-4143
Fax Number	:	704-568-8927

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

Provider Enumeration Date	:	05/25/2007
Last Update Date	:	07/24/2013

Similar Medicare Providers

1508718164 — CHRISTOPHER LASTER
Practice Location Address:

5511 MONROE RD STE 201
CHARLOTTE, NC
28212-5503

Practice Phone: 980-622-2177
Practice Fax: 980-366-6848

1508711441 — MLC HOLDINGS LLC
Practice Location Address:

5511 MONROE RD STE 201
CHARLOTTE, NC
28212-5503

Practice Phone: 980-622-2177
Practice Fax: 980-366-6848

1376664607 — DR. SUSAN WHITE DDS
Practice Location Address:

5507 MONROE RD
CHARLOTTE, NC
28212-5503

Practice Phone: 704-535-0782
Practice Fax: 704-535-8371

1285847400 — MRS. JENNIFER LYNNE CAGIANO LPC
Practice Location Address:

5513 MONROE RD STE 205
CHARLOTTE, NC
28212-5503

Practice Phone: 937-903-8045
Practice Fax:

1477762953 — DAVID A. JONES DDS
Practice Location Address:

5507 MONROE RD
CHARLOTTE, NC
28212-5503

Practice Phone: 704-535-0782
Practice Fax:

1831308378 — DR. DAVID ALAN JONES DDS
Practice Location Address:

5507 MONROE RD
CHARLOTTE, NC
28212-5503

Practice Phone: 704-535-0782
Practice Fax: 704-535-8371

Directions to “ MR. WESLEY JAY MOONE L.P.A.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.