| Doctor Name: | BARBARA A MOYNIHAN |
| NPI Number: | 1124011853 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D, APRN,BC |
| License Number: | 363LP0808X |
| Business Practice Address: | 1 S Main St Branford, CT - 064053872 |
| Business Phone Number: | 8886168563 |
| Business Fax Number: | 2034814217 |
| Mailing Address: | Po Box 194, BRANFORD |
| State: | CT |
| Postal Code: | 064050194 |
| Phone Number: | 8886168563 |
| Fax Number: | 2034814217 |
| NPI Enumeration Date: | 08/29/2005 |
| NPI Last Update Date: | 10/11/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0808X |
| License Number: | 363LP0808X |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |