NPI 1255419362

Virginia J Moody, MD

Practitioner Psychiatry Physician Normal, IL

Practice location

Address: 405 Kays Drive Suite B, Normal, IL 61761
Phone: (309) 862-0064
Fax: (309) 862-1542

Registered specialties

Psychiatry Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2084P0800X Licence 36101578 (IL)

Other Psychiatry & Neurology providers in Illinois →

Registry record

NPI: 1255419362
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Nov 2006
Record last updated: 17 Jul 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.