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Contact Information

SUN MOON, PSY.D.
3300 HENRY AVE
THREE FALL CENTER, SUITE 302
PHILADELPHIA, PA19129-1121
 Phone: 215-924-0684
 Fax: 215-924-3805
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Child & Adolescent

103TC2200X 62 Psychologist, Clinical
 

Clinical

103TC0700X 62 Psychologist, Clinical
 

Cognitive & Behavioral

103TB0200X 62 Psychologist, Clinical
 

Intellectual & Developmental Disabilities

103TM1800X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for SUN MOON · (Male)

NPI Number 1982142675
Status Active
Credentials PSY.D. (Doctor of Psychology)
Entity Individual
Enumeration date 02/02/2017
Last updated 02/02/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • PA License # PS015809
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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