Mary C Moore is a Clinical in Providence, Rhode Island. Mary C Moore practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mary C Moore is 1407844723. The last update date is 2008-11-03.
Mary C Moore's current location address is 203 S Main St, Providence, Rhode Island. You can contact this provider via phone number 4012734942. The mailing address for Mary C Moore is 203 S Main St, Providence, Rhode Island. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary C Moore |
|---|---|
| Address | 203 S Main St, Providence, Rhode Island |
| Phone Number | 4012734942 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1407844723 |
|---|---|
| Provider Enumeration Date | 2005-10-11 |
| Last Updated Date | 2008-11-03 |
Provider Mailing Address Detail
| Address | 203 S Main St |
|---|---|
| City | Providence |
| State | Rhode Island (RI) |
| Post Code | 29032992 |
| Phone Number | 4012734942 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PS00371 |
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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 10-digit identifier code assigned to Mary C Moore by the Centers for Medicare & Medicaid Services?
The Mary C Moore has been issued the NPI (National Provider Identifier) 1407844723 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Mary C Moore is geographically located?
The Mary C Moore is physically situated at the following location: 203 S Main St, Providence, RI, 29032992.
What is the area of specialization for Mary C Moore, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Mary C Moore is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1407844723 to Mary C Moore?
The Centers for Medicare & Medicaid Services originally issued the 1407844723 to Mary C Moore on 2005-10-11.
As of what date were the Mary C Moore's details last updated?
The information pertaining to the Mary C Moore, including its address, specialty, and other details, was most recently updated on 2008-11-03.