DR. Eugene Richard Moan, ED.D.

NPI #1689762700 in Flagstaff, Arizona

Provider Information

NPI Number: 1689762700
Entity Type: Individual
Name: DR. Eugene Richard Moan, ED.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist
Credential: ED.D.
Enumeration Date: Oct 11, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1521 N BEAVER ST
City: Flagstaff
State: Arizona
ZIP Code: 86001-1484
Phone: (928) 523-9604

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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