| Doctor Name: | MARIANNE JULIE MORIARTY |
| NPI Number: | 1154416840 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LMHC |
| License Number: | 5505 |
| Business Practice Address: | 30 Southwick St Agawam Counseling Center Feeding Hills, MA - 01030 |
| Business Phone Number: | 4137866410 |
| Business Fax Number: | 4137899623 |
| Mailing Address: | Po Box 84, 30 Southwick St Agawam Counseling Center FEEDING HILLS |
| State: | MA |
| Postal Code: | 01030 |
| Phone Number: | 4137866410 |
| Fax Number: | 4137899623 |
| NPI Enumeration Date: | 10/04/2006 |
| NPI Last Update Date: | 12/29/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 5505 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |