NPI
Mallory L Moon
NPI 1205496932
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Credential
- Psy.D.
- Type
- Individual
- Enumeration date
- 2019-06-14
- Last updated
- 2019-08-26
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Specialties
Licenses
- License CA
- 31108
Location
- Practice location
- 500 Fesler St Ste 208
- City
- El Cajon CA
- Postal code
- 92020-1946
- Phone
- (619) 440-4211
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in El Cajon, CA. 4,034 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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