Doctor Name: | MS. JAYE ANN MOYER |
NPI Number: | 1861618548 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | R037170-1 |
Business Practice Address: | 375 Route 32 Central Valley, NY - 109173201 |
Business Phone Number: | 8457749364 |
Business Fax Number: | |
Mailing Address: | 10 Crescent Pl, MONROE |
State: | NY |
Postal Code: | 109502514 |
Phone Number: | 8457749364 |
Fax Number: | |
NPI Enumeration Date: | 04/18/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | R037170-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |