Tom Leroy Moore in Linden - Marriage & Family Therapist
Tom Leroy Moore - NPI 1972705028
Tom Leroy Moore is a Marriage & Family Therapist in Linden, California. Tom Leroy Moore practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Tom Leroy Moore is 1972705028. The last update date is 2007-07-08.
Tom Leroy Moore's current location address is 21801 E 3rd Ave, Linden, California. You can contact this provider via phone number 2098873218. The mailing address for Tom Leroy Moore is 21801 E 3rd Ave, Linden, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tom Leroy Moore |
|---|---|
| Address | 21801 E 3rd Ave, Linden, California |
| Phone Number | 2098873218 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MFT |
NPI Number Detail
| NPI Number | 1972705028 |
|---|---|
| Provider Enumeration Date | 2007-06-01 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 21801 E 3rd Ave |
|---|---|
| City | Linden |
| State | California (CA) |
| Post Code | 952369736 |
| Phone Number | 2098873218 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Marriage & Family Therapist |
|---|---|
| Taxonomy | 106H00000X |
| Licence No | MFC 43541 |
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Definition: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives |
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What is the Tom Leroy Moore's 1972705028?
The Tom Leroy Moore's NPI (National Provider Identifier) Number is 1972705028. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Tom Leroy Moore's physical address?
The Tom Leroy Moore is physically located at 21801 E 3Rd Ave, in the city of Linden, CA, with the postal code 952369736.
What is the Tom Leroy Moore's specialty and taxonomy code?
The Tom Leroy Moore's specialty is Marriage & Family Therapist, and the corresponding taxonomy code is 106H00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1972705028 to Tom Leroy Moore?
The Centers for Medicare & Medicaid Services originally issued the 1972705028 to Tom Leroy Moore on 2007-06-01.
As of what date were the Tom Leroy Moore's details last updated?
The information pertaining to the Tom Leroy Moore, including its address, specialty, and other details, was most recently updated on 2007-07-08.