| Doctor Name: | MR. MICHAEL MOYER |
| NPI Number: | 1427299981 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PHD |
| License Number: | 19091 |
| Business Practice Address: | 433 Kitty Hawk Rd Bldg 2 - Suite 226 Universal City, TX - 78148 |
| Business Phone Number: | 2104124781 |
| Business Fax Number: | 2105981910 |
| Mailing Address: | 433 Kitty Hawk Rd, Bldg 2 - Suite 226 UNIVERSAL CITY |
| State: | TX |
| Postal Code: | 78148 |
| Phone Number: | 2104124781 |
| Fax Number: | 2105981910 |
| NPI Enumeration Date: | 03/13/2009 |
| NPI Last Update Date: | 02/20/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 19091 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |