Sun Moon, Psy.D.
Psychologist, Clinical Child & Adolescent in Philadelphia, PA. Individual provider (NPI-1).
NPI number1982142675
StatusActive
Last updated in NPPESFeb 2, 2017
Details
- NPI
- 1982142675
- Entity type
- Individual (NPI-1)
- Name
- Sun Moon
- Credential
- Psy.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 2, 2017
- Last updated
- Feb 2, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC2200X | Psychologist, Clinical Child & Adolescent | PS015809 | PA | Yes |
| 103TB0200X | Psychologist, Cognitive & Behavioral | PS015809 | PA | |
| 103TC0700X | Psychologist, Clinical | PS015809 | PA | |
| 103TM1800X | Psychologist, Intellectual & Developmental Disabilities | PS015809 | PA |
Practice location
3300 Henry AveThree Fall Center, Suite 302
Philadelphia, PA 19129-1121
Phone 215-924-0684 · Fax 215-924-3805
Mailing address
3300 Henry AveThree Fall Center, Suite 302
Philadelphia, PA 19129-1121
Phone 215-924-0684 · Fax 215-924-3805
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Clinical Child & Adolescent Psychologist providers in Philadelphia, PA
- Kari Freeman Baber, PHDNPI 1255619219
- Noel Bruno, PH.D.NPI 1558331785
- Stacey Carpenter, PSY.D.NPI 1578813366
- Olivia Emery Clark, PH.D.NPI 1154235950
- Laura Soskey Cubit, PHDNPI 1275112062
- Lauren DanielNPI 1487025417
- Molly Faye Davis, PHDNPI 1942879721
- Ke Ding, PHDNPI 1871295287
- Patricia Dixon, MSNPI 1750177234
- Frank Allen Edwards, PSY.D, LPC, CSPNPI 1497376578
All 58 Clinical Child & Adolescent Psychologist providers in Philadelphia · All 53,595 providers in Philadelphia
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.