Amy Lynn Moore is a Clinical in Berkeley, California. Amy Lynn Moore practices all healthcare services and medical treatments related to Clinical. The NPI Number for Amy Lynn Moore is 1629115472. The last update date is 2011-02-09.
Amy Lynn Moore's current location address is 2640 Martin Luther King Jr Way, Berkeley, California. You can contact this provider via phone number 5109815290. The mailing address for Amy Lynn Moore is 2640 Martin Luther King Jr Way, Berkeley, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Amy Lynn Moore |
|---|---|
| Address | 2640 Martin Luther King Jr Way, Berkeley, California |
| Phone Number | 5109815290 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PSY.D |
NPI Number Detail
| NPI Number | 1629115472 |
|---|---|
| Provider Enumeration Date | 2007-01-31 |
| Last Updated Date | 2011-02-09 |
Provider Mailing Address Detail
| Address | 2640 Martin Luther King Jr Way |
|---|---|
| City | Berkeley |
| State | California (CA) |
| Post Code | 947043238 |
| Phone Number | 5109815290 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 23805 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the unique identifier code issued to Amy Lynn Moore by the Centers for Medicare & Medicaid Services?
The Amy Lynn Moore has been assigned the NPI (National Provider Identifier) 1629115472. 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 physical location address of Amy Lynn Moore?
The Amy Lynn Moore is physically situated at 2640 Martin Luther King Jr Way, in the city of Berkeley, state of CA, with the postal code 947043238.
What is Amy Lynn Moore's area of expertise and its corresponding taxonomy classification?
The Amy Lynn Moore's field of specialization is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1629115472 assigned to Amy Lynn Moore?
The Amy Lynn Moore was issued its 1629115472 on 2007-01-31, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Amy Lynn Moore most recently updated or revised?
The details related to Amy Lynn Moore, including its address, specialty, and other relevant information, were last updated or revised on 2011-02-09.