Provider Demographics
NPI:1023392537
Name:MORIARTY, FRANCIS X (EDD)
Entity Type:Individual
Prefix:DR
First Name:FRANCIS
Middle Name:X
Last Name:MORIARTY
Suffix:
Gender:M
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 824
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER CENTER
Mailing Address - State:VT
Mailing Address - Zip Code:05255-0824
Mailing Address - Country:US
Mailing Address - Phone:802-362-3437
Mailing Address - Fax:
Practice Address - Street 1:1013 OLD DEPOT RD
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VT
Practice Address - Zip Code:05250-8748
Practice Address - Country:US
Practice Address - Phone:413-822-3661
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-03
Last Update Date:2011-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT048.0000526103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical