Moira Anne Creedon
Clinical Child & Adolescent Psychologist
1900 W Park Dr Suite 280
Westborough
, Massachusetts 01581-3942
Moira Anne Creedon
Clinical Child & Adolescent Psychologist
1900 W Park Dr Suite 280
Westborough
, Massachusetts 01581-3942
(617) 359-2166
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About
Features
Specialties
- Clinical Child & Adolescent Psychologist
Languages spoken
- English
Location
First Address
- Moira Anne Creedon
- 1900 W Park Dr Suite 280
- Westborough, MA
- Zip : 01581-3942
- Phone : (617) 359-2166
Second Address
- Moira Anne Creedon
- 1900 W Park Dr Suite 280
- Westborough, MA
- Zip : 01581-3942
- Phone : (617) 359-2166
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103TC2200X | Clinical Child & Adolescent Psychologist |
National Provider Identifier
| NPI | 1124276605 |
|---|---|
| Provider Name | Moira Anne Creedon |
| First Address | Westborough, MA 01581-3942 |
| Second Address | Westborough, MA 01581-3942 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/09/2008 |
| Last Update Date | 07/05/2015 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.