Marie C Moore is a Clinical in Los Angeles, California. Marie C Moore practices all healthcare services and medical treatments related to Clinical. The NPI Number for Marie C Moore is 1639211493. The last update date is 2007-07-08.
Marie C Moore's current location address is 1145 Gayley Ave, Los Angeles, California. You can contact this provider via phone number 3109915720 and fax number 3102080684. The mailing address for Marie C Moore is 1145 Gayley Ave, Los Angeles, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marie C Moore |
|---|---|
| Address | 1145 Gayley Ave, Los Angeles, California |
| Phone Number | 3109915720 |
| Fax Number | 3102080684 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1639211493 |
|---|---|
| Provider Enumeration Date | 2007-02-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1145 Gayley Ave |
|---|---|
| City | Los Angeles |
| State | California (CA) |
| Post Code | 900243423 |
| Phone Number | 3109915720 |
| Fax Number | 3102080684 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY15404 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| PSY15404 | CA | LICENSE |
Post Comment/ Review Below
What is the Marie C Moore's unique identification number?
The Marie C Moore has been assigned the NPI (National Provider Identifier) Number 1639211493 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Marie C Moore's physical address?
The Marie C Moore is physically located at 1145 Gayley Ave, in the city of Los Angeles, CA, with the postal code 900243423.
What is the area of specialization for Marie C Moore, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Marie C Moore is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 103Tc0700X.
On what date did the Marie C Moore receive the assignment of its 1639211493 from the Centers for Medicare & Medicaid Services?
The Marie C Moore was issued its 1639211493 by the Centers for Medicare & Medicaid Services on 2007-02-12.
When was the information regarding Marie C Moore most recently updated?
The details pertaining to the Marie C Moore, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
NPI Number: 1902802911
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