| Michael Sinclair Moore, LMFT | |
|
1172 N Maclay Ave, San Fernando, CA 91340-1328 | |
| (818) 765-8656 | |
| Not Available |
| Full Name | Michael Sinclair Moore |
|---|---|
| Gender | Male |
| Speciality | Marriage & Family Therapist |
| Location | 1172 N Maclay Ave, San Fernando, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164541330 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | MFC52167 (California) | Primary |
| Entity Name | Northeast Valley Health Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629079009 PECOS PAC ID: 3173517323 Enrollment ID: O20040412001067 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Sinclair Moore, LMFT 1172 N Maclay Ave, San Fernando, CA 91340-4236 Ph: (818) 765-8656 | Michael Sinclair Moore, LMFT 1172 N Maclay Ave, San Fernando, CA 91340-1328 Ph: (818) 765-8656 |
Miss Irma Valencia, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 517 N Maclay Ave, San Fernando, CA 91340 Phone: 818-732-0430 | |
Natalie Santoyo, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 11565 Laurel Canyon Blvd Unit 1, San Fernando, CA 91340 Phone: 818-361-5030 | |
Jennifer Dawn Stevenson, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 11565 Laurel Canyon Blvd, #101, San Fernando, CA 91340 Phone: 818-472-9920 | |
Regina M. Petrella, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 110 N Maclay Ave Ste 109, San Fernando, CA 91340 Phone: 310-962-4330 Fax: 310-454-9174 | |
Daisy Melendez, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 566 S Brand Blvd, San Fernando, CA 91340 Phone: 818-898-0223 | |
Miss Karina Robles, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 601 S Brand Blvd Ste 101, San Fernando, CA 91340 Phone: 818-898-9493 | |
Valentina Regner Torrence, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 601 S Brand Blvd, San Fernando, CA 91340 Phone: 818-714-2275 |