Doctor Name: | RICHARD EUGENE MOREY |
NPI Number: | 1053363895 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PHD |
License Number: | PSY12822 |
Business Practice Address: | 8575 Morro Rd Atascadero, CA - 934223924 |
Business Phone Number: | 8057030429 |
Business Fax Number: | 8054662322 |
Mailing Address: | Po Box 714, ATASCADERO |
State: | CA |
Postal Code: | 934230714 |
Phone Number: | 8057030429 |
Fax Number: | 8054662322 |
NPI Enumeration Date: | 05/17/2006 |
NPI Last Update Date: | 01/03/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC1900X |
License Number: | PSY12822 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Counseling |
Taxonomy Definition: |