Mariele Ann Moore is a Clinical in Los Osos, California. Mariele Ann Moore practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mariele Ann Moore is 1144358631. The last update date is 2007-07-08.
Mariele Ann Moore's current location address is 1416 Las Encinas Dr, Los Osos, California. You can contact this provider via phone number 8055283782. The mailing address for Mariele Ann Moore is 1416 Las Encinas Dr, Los Osos, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Mariele Ann Moore |
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Address | 1416 Las Encinas Dr, Los Osos, California |
Phone Number | 8055283782 |
Fax Number | |
Sole Proprietor | Y |
Credentials | PHD |
NPI Number Detail
NPI Number | 1144358631 |
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Provider Enumeration Date | 2007-02-28 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 1416 Las Encinas Dr |
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City | Los Osos |
State | California (CA) |
Post Code | 934024502 |
Phone Number | 8055283782 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 103Tc0700X |
Licence No | PSY11506 |
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 |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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CP11506 | CA | PSYCHOLOGIST |
Post Comment/ Review Below
What is the unique identifier code issued to Mariele Ann Moore by the Centers for Medicare & Medicaid Services (CMS)?
The Mariele Ann Moore has been assigned the NPI (National Provider Identifier) 1144358631. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Mariele Ann Moore is located?
The Mariele Ann Moore is situated at the following address: 1416 Las Encinas Dr, Los Osos, CA, 934024502.
What is the Mariele Ann Moore's area of specialization and corresponding taxonomy classification?
The Mariele Ann Moore's specialty field is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their specialties.
When was the Mariele Ann Moore's 1144358631 issued?
The Mariele Ann Moore's 1144358631 was issued on 2007-02-28.
As of what date were the Mariele Ann Moore's details last updated?
The information pertaining to the Mariele Ann Moore, including its address, specialty, and other details, was most recently updated on 2007-07-08.