Steven Michael Moroney

Individual provider Active NPI Marriage & Family Therapist · Rathdrum, ID

NPI 1831725902 · NPPES record last updated Mar 20, 2020

Key facts

NPI
1831725902
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
Practice address
24338 N McKenzie Dr
Rathdrum, ID 83858-7390
Phone
(208) 712-4067
NPI assigned
Mar 20, 2020
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X Yes

Addresses

Primary practice location

24338 N McKenzie Dr
Rathdrum, ID 83858-7390

Mailing address

24338 N McKenzie Dr
Rathdrum, ID 83858-7390
Phone (208) 712-4067

Other providers in Rathdrum, ID

All providers in Rathdrum, ID · Marriage & Family Therapist in Idaho

Sources for this page

Verify at the official NPI Registry.