Provider Demographics
NPI:1275891715
Name:MORING, JOHN CLAYTON (PHD)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:CLAYTON
Last Name:MORING
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7550 W IH 10
Mailing Address - Street 2:SUITE 1325
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-5803
Mailing Address - Country:US
Mailing Address - Phone:210-562-6716
Mailing Address - Fax:
Practice Address - Street 1:7550 W IH 10
Practice Address - Street 2:SUITE 1325
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-5803
Practice Address - Country:US
Practice Address - Phone:210-562-6716
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-02
Last Update Date:2018-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX36794103T00000X, 103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist