Provider Demographics
NPI:1801028857
Name:MOYER, JONATHAN E (LPC)
Entity Type:Individual
Prefix:MR
First Name:JONATHAN
Middle Name:E
Last Name:MOYER
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:328 W BROAD ST
Mailing Address - Street 2:SUITE 100 REAR ENTRANCE
Mailing Address - City:QUAKERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18951-1275
Mailing Address - Country:US
Mailing Address - Phone:610-554-7417
Mailing Address - Fax:
Practice Address - Street 1:328 W BROAD ST
Practice Address - Street 2:SUITE 100 REAR ENTRANCE
Practice Address - City:QUAKERTOWN
Practice Address - State:PA
Practice Address - Zip Code:18951-1275
Practice Address - Country:US
Practice Address - Phone:610-554-7417
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-08-10
Last Update Date:2016-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC009105101YP2500X
101YP1600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional