Stephanie Diane Moore in Old Saybrook - Clinical
Stephanie Diane Moore - NPI 1396874087
Stephanie Diane Moore is a Clinical in Old Saybrook, Connecticut. Stephanie Diane Moore practices all healthcare services and medical treatments related to Clinical. The NPI Number for Stephanie Diane Moore is 1396874087. The last update date is 2012-06-20.
Stephanie Diane Moore's current location address is Po Box 403, Old Saybrook, Connecticut. You can contact this provider via phone number 8605361536. The mailing address for Stephanie Diane Moore is Po Box 403, Old Saybrook, Connecticut. To know further, please read the information below!
Provider Profile Detail
Provider Name | Stephanie Diane Moore |
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Address | Po Box 403, Old Saybrook, Connecticut |
Phone Number | 8605361536 |
Fax Number | |
Sole Proprietor | Y |
Credentials | PSY.D. |
NPI Number Detail
NPI Number | 1396874087 |
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Provider Enumeration Date | 2007-03-05 |
Last Updated Date | 2012-06-20 |
Provider Mailing Address Detail
Address | Po Box 403 |
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City | Old Saybrook |
State | Connecticut (CT) |
Post Code | 64750403 |
Phone Number | 8605361536 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 103Tc0700X |
Licence No | 1668 |
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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060001668CT02 | CT | ANTHEM BLUE CROSS |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Stephanie Diane Moore by the Centers for Medicare & Medicaid Services?
The Stephanie Diane Moore has been assigned the NPI (National Provider Identifier) 1396874087 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Stephanie Diane Moore is physically located?
The Stephanie Diane Moore is physically situated at the following address: Po Box 403, Old Saybrook, CT, 64750403.
What is the Stephanie Diane Moore's area of specialization and corresponding taxonomy classification?
The Stephanie Diane 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 Stephanie Diane Moore's 1396874087 issued?
The Stephanie Diane Moore's 1396874087 was issued on 2007-03-05.
When was the information related to Stephanie Diane Moore most recently updated or refreshed?
The details pertaining to the Stephanie Diane Moore, including its address, specialty, and other relevant information, were last updated or refreshed on 2012-06-20.
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