Pat Moon

NPI #1073990404 in Herndon, Virginia

Provider Information

NPI Number: 1073990404
Entity Type: Individual
Name: Pat Moon
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist - Clinical
Enumeration Date: May 6, 2015
Last Updated: May 6, 2015

Practice Location

Address: 2333 DULLES STATION BLVD APT I-201
City: Herndon
State: Virginia
ZIP Code: 20171-6398
Phone: (626) 660-5383

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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