National Provider Identifier

Rebecca Moe

Rebecca Moe is listed in the NPPES registry with a primary specialty of Clinical Psychologist in Bath, NY and a listed phone number of (607) 664-4000.

NPI 1407081763Bath, NYClinical Psychologist

Profile Overview

NPI
1407081763
Provider Type
Individual
Primary Specialty
Clinical Psychologist
Enumeration Date
May 15, 2009
Last Updated
October 10, 2014

Practice Location

  • 76 Veterans Ave
  • Bath, NY 14810-0810

Phone: (607) 664-4000

Mailing Address

  • 134 Bean Hill RD
  • Endicott, NY 13760-6505

Specialties

  • Clinical Psychologist (103TC0700X)
Full Record
NPI
1407081763
Entity Type
Individual
Last Name
Moe
First Name
Rebecca
Mailing Street Address
134 Bean Hill RD
Mailing City
Endicott
Mailing State
NY
Mailing ZIP Code
13760-6505
Mailing Country
US
Mailing Phone
(847) 287-6454
Practice Street Address
76 Veterans Ave
Practice City
Bath
Practice State
NY
Practice ZIP Code
14810-0810
Practice Country
US
Practice Phone
(607) 664-4000
Enumeration Date
May 15, 2009
Last Updated
October 10, 2014
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Psychologist (103TC0700X)