Eugene Richard Moan, ED.D.

Psychologist · Flagstaff, AZ

Individual Active NPI

NPI number 1689762700

Practice location

1521 N Beaver St
Flagstaff, AZ 86001-1484
Phone
(928) 523-9604

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NPI record

NPI
1689762700
Entity type
Individual (Type 1)
Enumeration date
October 11, 2006
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Psychologist Primary 103T00000X 927 AZ

Mailing address

42 Pine Cone Dr
Flagstaff, AZ 86001-9605
Phone
(928) 523-9604

About Eugene Moan

Eugene Richard Moan, ED.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Psychologist (code 103T00000X). The practice location is 1521 N Beaver St, Flagstaff, AZ 86001-1484. The NPI number 1689762700 was assigned on October 11, 2006 and the record was last updated on July 8, 2007.

Eugene Moan lists a license in the registry: #927 (AZ) for Psychologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Eugene Richard Moan, ED.D.?

The NPI number is 1689762700.

What is the phone number of Eugene Moan?

The phone number listed for the practice location is (928) 523-9604.

Where is Eugene Moan located?

1521 N Beaver St, Flagstaff, AZ 86001-1484.

What is the taxonomy code for Eugene Moan?

The primary taxonomy code is 103T00000X – Psychologist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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