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Contact Information

JOHN L MOULTON III, PH D
5905 LAKE EARL DRIVE
CRESCENT CITY, CA95531
 Phone: 707-465-1000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for JOHN L MOULTON III · (Male)

NPI Number 1285669200
Status Active
Credentials PH D
Entity Individual
Enumeration date 07/11/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • CA License # PSY20637
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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