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NPI Code Detail

MEDICARE: ROBYN JOY MOSES LPCC

MEDICARE: ROBYN JOY MOSES LPCC
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
1103TS0200XSchool Psychologist190137740CA
2101YP2500XProfessional Counselor555CA

General Provider Information

NPI Number : 1598315459
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBYN JOY MOSES LPCC
Provider Business Mailing Address
First Line : 13681 NEWPORT AVE # 8279
Second Line :
City : TUSTIN
State : CA
Zip : 92780-4689
Country : US
Telephone Number : 949-309-9261
Fax Number : 714-373-0679
Provider Business Practice Location Address
First Line : 5832 BOLSA AVE
Second Line :
City : HUNTINGTON BEACH
State : CA
Zip : 92649-1181
Country : US
Telephone Number : 714-373-0517
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/12/2019
Last Update Date : 09/12/2019

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