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Contact Information

HEATHER W MOON, M.A.
63 COLLEGE AVE
SOMERVILLE, MA02144-1957
 Phone: 617-629-6628
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Professional

101YP2500X
 

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for HEATHER W MOON · (Female)

NPI # 1689879876
Status Active
Credentials M.A.
Entity Individual
Enumeration date 06/18/2007
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 No
Identifiers Not Available
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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