Joseph Harold Moore in Gaylord - Clinical

Joseph Harold Moore - NPI 1205030566

Joseph Harold Moore is a Clinical in Gaylord, Michigan. Joseph Harold Moore practices all healthcare services and medical treatments related to Clinical. The NPI Number for Joseph Harold Moore is 1205030566. The last update date is 2007-07-08.

Joseph Harold Moore's current location address is 800 Livingston Blvd Ste A, Gaylord, Michigan. You can contact this provider via phone number 9897327558 and fax number 9897328672. The mailing address for Joseph Harold Moore is 800 Livingston Blvd Ste A, Gaylord, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Joseph Harold Moore
Address 800 Livingston Blvd Ste A, Gaylord, Michigan
Phone Number 9897327558
Fax Number 9897328672
Sole Proprietor Y
Credentials LPC

NPI Number Detail

NPI Number 1205030566
Provider Enumeration Date 2007-06-12
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 800 Livingston Blvd Ste A
City Gaylord
State Michigan (MI)
Post Code 497358351
Phone Number 9897327558
Fax Number 9897328672

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 6401006843
Definition:
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif

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FAQs about Joseph Harold Moore

What is the unique provider identifier assigned to Joseph Harold Moore?

The Joseph Harold Moore has been issued the NPI (National Provider Identifier) 1205030566 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Joseph Harold Moore's facilities are geographically located?

The facilities of Joseph Harold Moore are physically situated at the following location: 800 Livingston Blvd Ste A, Gaylord, MI, 497358351.

What is Joseph Harold Moore's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Joseph Harold Moore's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1205030566 to Joseph Harold Moore?

The Centers for Medicare & Medicaid Services originally issued the 1205030566 to Joseph Harold Moore on 2007-06-12.

When was the information related to Joseph Harold Moore most recently updated or refreshed?

The details pertaining to the Joseph Harold Moore, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.

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