Provider Demographics
NPI:1700982477
Name:MORIARTY, HELENE JOY (PHD, RN, CS)
Entity Type:Individual
Prefix:DR
First Name:HELENE
Middle Name:JOY
Last Name:MORIARTY
Suffix:
Gender:F
Credentials:PHD, RN, CS
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Mailing Address - Street 1:208 BUCK LN
Mailing Address - Street 2:
Mailing Address - City:HAVERFORD
Mailing Address - State:PA
Mailing Address - Zip Code:19041-1107
Mailing Address - Country:US
Mailing Address - Phone:215-823-4078
Mailing Address - Fax:215-823-4069
Practice Address - Street 1:3900 WOODLAND AVE
Practice Address - Street 2:MAILCODE 118
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104-4551
Practice Address - Country:US
Practice Address - Phone:215-823-4078
Practice Address - Fax:215-823-4069
Is Sole Proprietor?:No
Enumeration Date:2006-09-16
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PARN219511L364SP0809X, 364SP0810X, 364SP0812X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered364SP0809XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Adult
Not Answered364SP0810XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Child & Family
Not Answered364SP0812XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Community