Provider Demographics
NPI:1225386584
Name:MOISE, CLAUDINE NMN
Entity Type:Individual
Prefix:
First Name:CLAUDINE
Middle Name:NMN
Last Name:MOISE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 NE 121ST ST APT 201
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33161-5406
Mailing Address - Country:US
Mailing Address - Phone:786-623-7768
Mailing Address - Fax:
Practice Address - Street 1:401 NE 121ST ST APT 201
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33161-5406
Practice Address - Country:US
Practice Address - Phone:786-623-7768
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-16
Last Update Date:2023-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor