Provider Demographics
NPI:1346426889
Name:MOYES, MARTHA JEAN
Entity Type:Individual
Prefix:MS
First Name:MARTHA
Middle Name:JEAN
Last Name:MOYES
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:MARTHA
Other - Middle Name:RICKS
Other - Last Name:MOYES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1111 COLUMBUS ST
Mailing Address - Street 2:SUITE 3000
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93305-1936
Mailing Address - Country:US
Mailing Address - Phone:661-868-8300
Mailing Address - Fax:661-868-8317
Practice Address - Street 1:1111 COLUMBUS ST
Practice Address - Street 2:SUITE 3000
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93305-1936
Practice Address - Country:US
Practice Address - Phone:661-868-8300
Practice Address - Fax:661-868-8317
Is Sole Proprietor?:No
Enumeration Date:2008-01-15
Last Update Date:2008-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health