| James Moriarty Phd & Joan Moriarty Phd Pc | |
|
55 W Maple Rd Suite 210 Birmingham MI 48009-3303 | |
| (248) 646-3820 | |
| Not Available |
| Full Name | James Moriarty Phd & Joan Moriarty Phd Pc |
|---|---|
| Speciality | Psychologist |
| Location | 55 W Maple Rd, Birmingham, Michigan |
| Authorized Official Name and Position | Joan Moriarty (PRESIDENT) |
| Authorized Official Contact | 2486463820 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| James Moriarty Phd & Joan Moriarty Phd Pc 55 W Maple Rd Suite 210 Birmingham MI 48009-3303 Ph: (248) 646-3820 | James Moriarty Phd & Joan Moriarty Phd Pc 55 W Maple Rd Suite 210 Birmingham MI 48009-3303 Ph: (248) 646-3820 |
| NPI Number | 1275858649 |
|---|---|
| Provider Enumeration Date | 03/29/2010 |
| Last Update Date | 06/23/2015 |
| Medicare PECOS PAC ID | 8325234891 |
|---|---|
| Medicare Enrollment ID | O20101123000355 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275858649 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Joan Moriarty |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1508985276 PECOS PAC ID: 2567658057 Enrollment ID: I20101123000589 |
| Provider Name | James Moriarty |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1679692115 PECOS PAC ID: 4385830876 Enrollment ID: I20101123000881 |
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