Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Edward Tindal Moon, PSYD

Individual provider Clinical Psychologist · NPI 1003824194

Dr. Edward Tindal Moon, PSYD is a Clinical Psychologist in Philadelphia, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2006
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

255 S 17th St Ste 2301
Philadelphia, PA 19103-6231
Phone: (610) 659-0774
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PS007695L (PA)

Record details

NPI number1003824194
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYD
Sole proprietorYes
NPI enumeratedAugust 4, 2006
Last updated in NPPESDecember 6, 2016

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