| Barbara A. Moynihan Llc | |
|
1 S Main St Branford CT 06405-3872 | |
| (888) 616-8536 | |
| Not Available |
| Full Name | Barbara A. Moynihan Llc |
|---|---|
| Speciality | Psychologist |
| Location | 1 S Main St, Branford, Connecticut |
| Authorized Official Name and Position | Barbara A Moynihan (OWNER) |
| Authorized Official Contact | 8886168536 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Barbara A. Moynihan Llc Po Box 194 Branford CT 06405-0194 Ph: () - | Barbara A. Moynihan Llc 1 S Main St Branford CT 06405-3872 Ph: (888) 616-8536 |
| NPI Number | 1457709818 |
|---|---|
| Provider Enumeration Date | 05/26/2016 |
| Last Update Date | 06/13/2016 |
| Medicare PECOS PAC ID | 2264723683 |
|---|---|
| Medicare Enrollment ID | O20160615000921 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457709818 | NPI | - | NPPES |
| 890000164 | Other | CT | MEDICARE ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TP0016X | Psychologist - Prescribing (medical) | 001038 (Connecticut) | Primary |
| Provider Name | Barbara A Moynihan |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1124011853 PECOS PAC ID: 7315113057 Enrollment ID: I20111230000538 |
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