Provider Demographics
NPI:1689682536
Name:MOSKOVITZ NA, SIGMUND (MA,PHD,MFT)
Entity Type:Individual
Prefix:MR
First Name:SIGMUND
Middle Name:
Last Name:MOSKOVITZ NA
Suffix:
Gender:M
Credentials:MA,PHD,MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:936 DEWING AVE
Mailing Address - Street 2:STE. E
Mailing Address - City:LAFAYETTE
Mailing Address - State:CA
Mailing Address - Zip Code:94549-4290
Mailing Address - Country:US
Mailing Address - Phone:925-283-9377
Mailing Address - Fax:707-644-6016
Practice Address - Street 1:936 DEWING AVE
Practice Address - Street 2:STE. E
Practice Address - City:LAFAYETTE
Practice Address - State:CA
Practice Address - Zip Code:94549-4290
Practice Address - Country:US
Practice Address - Phone:925-283-9377
Practice Address - Fax:707-644-6016
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-04
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT 20608101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health