Provider Demographics
NPI:1588998033
Name:MORIARTY, ESTELLA CHRISTINA (MS CAGS)
Entity type:Individual
Prefix:MS
First Name:ESTELLA
Middle Name:CHRISTINA
Last Name:MORIARTY
Suffix:
Gender:F
Credentials:MS CAGS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 BOSTON STREET
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:MA
Mailing Address - Zip Code:01970-5766
Mailing Address - Country:US
Mailing Address - Phone:978-744-7905
Mailing Address - Fax:978-740-9145
Practice Address - Street 1:110 BOSTON STREET
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:MA
Practice Address - Zip Code:01970-5766
Practice Address - Country:US
Practice Address - Phone:978-744-7905
Practice Address - Fax:978-740-9145
Is Sole Proprietor?:No
Enumeration Date:2009-09-30
Last Update Date:2011-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health