| Doctor Name: | WILLIAM MOON |
| NPI Number: | 1043307085 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PH.D. |
| License Number: | PSY001063 |
| Business Practice Address: | 17 Felton Pl Ste A Cartersville, GA - 301202153 |
| Business Phone Number: | 7703868996 |
| Business Fax Number: | 7703868100 |
| Mailing Address: | Po Box 2348, 17a Felton Place CARTERSVILLE |
| State: | GA |
| Postal Code: | 301201690 |
| Phone Number: | 7703868996 |
| Fax Number: | 7703868100 |
| NPI Enumeration Date: | 10/10/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PSY001063 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |