Moonrise Therapy Pllc
NPI #1649044058 in Evanston, Illinois
Provider Information
- NPI Number
- 1649044058
- Entity Type
- Organization
- Organization Name
- Moonrise Therapy Pllc
- Primary Specialty
- Psychologist
- Enumeration Date
- Nov 7, 2023
- Last Updated
- Nov 7, 2023
Practice Location
Authorized Official
- Name
- DARREN DIAMOND
- Title
- MANAGER
- Phone
- (518) 708-5405
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist |
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