Geraldene E Moore in North Little Rock - Psychologist
Geraldene E Moore - NPI 1063428365
Geraldene E Moore is a Psychologist in North Little Rock, Arkansas. Geraldene E Moore practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Geraldene E Moore is 1063428365. The last update date is 2007-07-08.
Geraldene E Moore's current location address is 3805 Mccain Park Drive, North Little Rock, Arkansas. You can contact this provider via phone number 5017589993 and fax number 5017585321. The mailing address for Geraldene E Moore is 3805 Mccain Park Drive, North Little Rock, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Geraldene E Moore |
|---|---|
| Address | 3805 Mccain Park Drive, North Little Rock, Arkansas |
| Phone Number | 5017589993 |
| Fax Number | 5017585321 |
| Sole Proprietor | N |
| Credentials | PH D |
NPI Number Detail
| NPI Number | 1063428365 |
|---|---|
| Provider Enumeration Date | 2006-07-31 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3805 Mccain Park Drive |
|---|---|
| City | North Little Rock |
| State | Arkansas (AR) |
| Post Code | 721167813 |
| Phone Number | 5017589993 |
| Fax Number | 5017585321 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 869P |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 56579 | AR | BCBS |
Post Comment/ Review Below
What is the unique identifier code issued to Geraldene E Moore by the Centers for Medicare & Medicaid Services?
The Geraldene E Moore has been assigned the NPI (National Provider Identifier) 1063428365. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Geraldene E Moore is physically located?
The Geraldene E Moore is physically situated at the following address: 3805 Mccain Park Drive, North Little Rock, AR, 721167813.
What is Geraldene E Moore's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Geraldene E Moore is Psychologist, and the taxonomy code that categorizes this field of expertise is 103T00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1063428365 to Geraldene E Moore?
The Centers for Medicare & Medicaid Services originally issued the 1063428365 to Geraldene E Moore on 2006-07-31.
When was the Geraldene E Moore's information last updated?
The Geraldene E Moore's information was last updated on 2007-07-08.
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