Most Relevant Information
Provider Data
| NPI Number: | 1003653080 |
| Provider Name: | DOMINGA TERESA MOYER |
| Entity Type: | Individual |
| Taxonomy Code: | 103T00000X |
| Specialty: | Psychologist |
| License Number: | 4034 |
Most Important Dates
| Enumeration Date: | 07/09/2024 |
| Last Updated: | 07/09/2024 |
Provider Practice Location
1180 E 1ST AVE
CHICO
CA
959262404
Practice Location Phone/Fax
| Phone: | 5305218869 |
| Fax: |
Provider Mailing Location
1180 E 1ST AVE
CHICO
CA
959262404
Provider Mailing Phone/Fax
| Phone: | 5305218869 |
| Fax: |