DR. Edward Tindal Moon, PSY D
NPI #1003824194 in Philadelphia, Pennsylvania
Provider Information
- NPI Number
- 1003824194
- Entity Type
- Individual
- Name
- DR. Edward Tindal Moon, PSY D
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Psychologist - Clinical
- Credential
- PSY D
- Enumeration Date
- Aug 4, 2006
- Last Updated
- Dec 6, 2016
Practice Location
- Address
- 255 S 17TH ST
- Address 2
- SUITE 2301
- City
- Philadelphia
- State
- Pennsylvania
- ZIP Code
- 19103-6231
- Phone
- (610) 659-0774
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
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