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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. EDWARD TINDAL MOON, PSY D

Active Sole Proprietor

DR. EDWARD TINDAL MOON, PSY D is a Clinical Psychologist healthcare provider located in PHILADELPHIA, Pennsylvania. NPI 1003824194 is currently active in the NPPES registry. Verify at CMS.

Clinical Psychologist · PHILADELPHIA, PA

Registration Details

NPI Number
1003824194
Provider Type
Individual
Gender
Male
NPI Issued
Aug 4, 2006 (20.020077829726 yrs)
Last Updated
Dec 6, 2016
License
PS007695L (PA)
Sole Proprietor
Yes

Practice Information

Address
255 S 17TH ST
SUITE 2301
PHILADELPHIA, PA, 191036231
Browse PA providers · Browse ZIP 19103
Phone
6106590774
Primary Specialty
Clinical Psychologist
103TC0700X

Other Clinical Psychologist Providers in PHILADELPHIA, PA

Name Credential NPI
DR. MARILYN LUBER PH.D. 1558354480
KATHERINE J MILLER PH.D 1356334940
B JANET HIBBS PH.D 1760475305
FRANCES BONDS-WHITE ED.D 1225022403
DEBORAH FRAZER PH.D 1629062476
DR. JEFFREY S. GRAND PSY.D. 1619953361
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.