James A Moore is a Clinical in St Louis Park, Minnesota. James A Moore practices all healthcare services and medical treatments related to Clinical. The NPI Number for James A Moore is 1033286489. The last update date is 2018-10-19.
James A Moore's current location address is 4240 Park Glen Rd, St Louis Park, Minnesota. You can contact this provider via phone number 6129256033 and fax number 6129258496. The mailing address for James A Moore is 4240 Park Glen Rd, St Louis Park, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | James A Moore |
|---|---|
| Address | 4240 Park Glen Rd, St Louis Park, Minnesota |
| Phone Number | 6129256033 |
| Fax Number | 6129258496 |
| Sole Proprietor | N |
| Credentials | PHD, LP |
NPI Number Detail
| NPI Number | 1033286489 |
|---|---|
| Provider Enumeration Date | 2006-11-29 |
| Last Updated Date | 2018-10-19 |
Provider Mailing Address Detail
| Address | 4240 Park Glen Rd |
|---|---|
| City | St Louis Park |
| State | Minnesota (MN) |
| Post Code | 554165427 |
| Phone Number | 6129256033 |
| Fax Number | 6129258496 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | LP2399 |
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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 |
|---|---|---|---|
| 6139028 | MN | MEDICA CHOICE | |
| 94387 | MN | OPTUM | |
| 01H81MO | MN | BCBS | |
| 477048000 | MN | -- | |
| HP20758 | MN | HEALTHPARTNERS | |
| 115641C154 | MN | UCARE |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to James A Moore by the Centers for Medicare & Medicaid Services?
The James A Moore has been issued the NPI (National Provider Identifier) 1033286489, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where James A Moore's facilities are geographically located?
The facilities of James A Moore are physically situated at the following location: 4240 Park Glen Rd, St Louis Park, MN, 554165427.
What is James A Moore's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for James A Moore is Clinical, and the corresponding taxonomy classification code for this specialized field is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1033286489 to James A Moore?
The Centers for Medicare & Medicaid Services originally issued the 1033286489 to James A Moore on 2006-11-29.
When was the information regarding James A Moore, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to James A Moore, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2018-10-19.