Provider Demographics
NPI:1073768131
Name:MOYA, JANA-MACY (MS)
Entity Type:Individual
Prefix:
First Name:JANA-MACY
Middle Name:
Last Name:MOYA
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45-454 KOA KAHIKO ST
Mailing Address - Street 2:
Mailing Address - City:KANEOHE
Mailing Address - State:HI
Mailing Address - Zip Code:96744-2008
Mailing Address - Country:US
Mailing Address - Phone:808-780-1850
Mailing Address - Fax:
Practice Address - Street 1:45-454 KOA KAHIKO ST
Practice Address - Street 2:
Practice Address - City:KANEOHE
Practice Address - State:HI
Practice Address - Zip Code:96744-2008
Practice Address - Country:US
Practice Address - Phone:808-780-1850
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-11-17
Last Update Date:2008-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist