Dr. Jacqueline Moyerman, Ph.D.
Psychologist, Clinical in Thomaston, GA. Individual provider (NPI-1).
NPI number1932273786
StatusActive
Last updated in NPPESJul 9, 2007
Details
- NPI
- 1932273786
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jacqueline Moyerman
- Credential
- Ph.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 20, 2006
- Last updated
- Jul 9, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 1583 | GA | Yes |
Practice location
210 Hannahs Mill RdThomaston, GA 30286-2801
Phone 706-646-4543
Mailing address
6326 Cape Cod DrColumbus, GA 31904-2916
Phone 706-570-1629
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