Kathleen Ann Moore in Georgetown - Professional
Kathleen Ann Moore - NPI 1972676559
Kathleen Ann Moore is a Professional in Georgetown, Texas. Kathleen Ann Moore practices all healthcare services and medical treatments related to Professional. The NPI Number for Kathleen Ann Moore is 1972676559. The last update date is 2021-03-09.
Kathleen Ann Moore's current location address is 205 E University Ave Ste 200, Georgetown, Texas. You can contact this provider via phone number 8778005722 and fax number 5123322180. The mailing address for Kathleen Ann Moore is 205 E University Ave Ste 200, Georgetown, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kathleen Ann Moore |
|---|---|
| Address | 205 E University Ave Ste 200, Georgetown, Texas |
| Phone Number | 8778005722 |
| Fax Number | 5123322180 |
| Sole Proprietor | N |
| Credentials | LPC |
NPI Number Detail
| NPI Number | 1972676559 |
|---|---|
| Provider Enumeration Date | 2006-11-15 |
| Last Updated Date | 2021-03-09 |
Provider Mailing Address Detail
| Address | 205 E University Ave Ste 200 |
|---|---|
| City | Georgetown |
| State | Texas (TX) |
| Post Code | 786266821 |
| Phone Number | 8778005722 |
| Fax Number | 5123322180 |
Provider's Primary Taxonomy Detail
| Speciality | Professional |
|---|---|
| Taxonomy | 101Yp2500X |
| Licence No | 13112 |
|
Definition: A general counselor who helps people with personal, social, educational, and career issues. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 13112 | TX | LICENSE | |
| 0955437-04 | TX | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Kathleen Ann Moore?
The Kathleen Ann Moore has been issued the NPI (National Provider Identifier) 1972676559 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Kathleen Ann Moore is physically located?
The Kathleen Ann Moore is physically situated at the following address: 205 E University Ave Ste 200, Georgetown, TX, 786266821.
What is the Kathleen Ann Moore's area of specialization and corresponding taxonomy classification?
The Kathleen Ann Moore's specialty field is Professional, and it falls under the taxonomy code 101Yp2500X, which categorizes healthcare providers based on their specialties.
On what date was the 1972676559 assigned to Kathleen Ann Moore?
The Kathleen Ann Moore was issued its 1972676559 on 2006-11-15, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Kathleen Ann Moore last refreshed?
The information related to the Kathleen Ann Moore, including its address, specialty, and other relevant details, was last updated on 2021-03-09.
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