Provider Demographics
NPI:1528345865
Name:MOYER, KATINA (MED)
Entity type:Individual
Prefix:MRS
First Name:KATINA
Middle Name:
Last Name:MOYER
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1275 TAYLORSVILLE RD
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON CROSSING
Mailing Address - State:PA
Mailing Address - Zip Code:18977-1003
Mailing Address - Country:US
Mailing Address - Phone:215-939-0966
Mailing Address - Fax:
Practice Address - Street 1:144 INDEPENDENCE DR
Practice Address - Street 2:
Practice Address - City:MORRISVILLE
Practice Address - State:PA
Practice Address - Zip Code:19067-4912
Practice Address - Country:US
Practice Address - Phone:215-939-0966
Practice Address - Fax:215-428-1582
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-15
Last Update Date:2025-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst