| Doctor Name: | DONALD ELLIOT MOOREHEAD |
| NPI Number: | 1255496550 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PHD |
| License Number: | 35SI00333900 |
| Business Practice Address: | 336 W Passaic St 4th Floor Rochelle Park, NJ - 076623027 |
| Business Phone Number: | 2018457030 |
| Business Fax Number: | |
| Mailing Address: | 336 W Passaic St, 4th Floor ROCHELLE PARK |
| State: | NJ |
| Postal Code: | 076623027 |
| Phone Number: | 2018457030 |
| Fax Number: | |
| NPI Enumeration Date: | 12/27/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 35SI00333900 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |