| H Suzanne Moon, Phd, Pc | |
|
210 Winter St Suite 105 Weymouth MA 02188-3302 | |
| (781) 812-2294 | |
| (781) 812-2295 |
| Full Name | H Suzanne Moon, Phd, Pc |
|---|---|
| Speciality | Psychologist |
| Location | 210 Winter St, Weymouth, Massachusetts |
| Authorized Official Name and Position | H Suzanne Moon (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 7818122294 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| H Suzanne Moon, Phd, Pc 93 Village Dr Quincy MA 02169-0946 Ph: (781) 812-2294 | H Suzanne Moon, Phd, Pc 210 Winter St Suite 105 Weymouth MA 02188-3302 Ph: (781) 812-2294 |
| NPI Number | 1427350800 |
|---|---|
| Provider Enumeration Date | 11/17/2010 |
| Last Update Date | 01/19/2011 |
| Medicare PECOS PAC ID | 2264616507 |
|---|---|
| Medicare Enrollment ID | O20110411000282 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427350800 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 7771 (Massachusetts) | Primary |
| Provider Name | Huicha S Moon |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1104906114 PECOS PAC ID: 0446285068 Enrollment ID: I20051003000740 |
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