Provider Demographics
NPI:1225692262
Name:MOREAU, PIERRE ARMAND
Entity Type:Individual
Prefix:MR
First Name:PIERRE
Middle Name:ARMAND
Last Name:MOREAU
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16295 SW 19TH ST
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33027-4459
Mailing Address - Country:US
Mailing Address - Phone:305-333-4915
Mailing Address - Fax:866-349-0524
Practice Address - Street 1:16295 SW 19TH ST
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33027-4459
Practice Address - Country:US
Practice Address - Phone:786-716-1166
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-25
Last Update Date:2019-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool