Stephen T Moore is a Psychiatry in Cookeville, Tennessee. Stephen T Moore practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Stephen T Moore is 1083643589. The last update date is 2014-07-14.
Stephen T Moore's current location address is 1101 Neal St, Cookeville, Tennessee. You can contact this provider via phone number 9315261581. The mailing address for Stephen T Moore is 1101 Neal St, Cookeville, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stephen T Moore |
|---|---|
| Address | 1101 Neal St, Cookeville, Tennessee |
| Phone Number | 9315261581 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1083643589 |
|---|---|
| Provider Enumeration Date | 2006-06-30 |
| Last Updated Date | 2014-07-14 |
Provider Mailing Address Detail
| Address | 1101 Neal St |
|---|---|
| City | Cookeville |
| State | Tennessee (TN) |
| Post Code | 385010901 |
| Phone Number | 9315261581 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
| Licence No | DO0000001305 |
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Definition: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3305996 | TN | -- | |
| 621833951 | TN | TAX ID/PROVIDER NUMBER | |
| 3158681 | TN | BCBS PROVIDER NUMBER |
Post Comment/ Review Below
What is the unique provider identifier assigned to Stephen T Moore?
The Stephen T Moore has been issued the NPI (National Provider Identifier) 1083643589 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Stephen T Moore is physically located?
The Stephen T Moore is situated at the following address: 1101 Neal St, Cookeville, TN 385010901.
What is the Stephen T Moore's specialty and taxonomy code?
The Stephen T Moore's specialty is Psychiatry, and the corresponding taxonomy code is 2084P0800X.
On what date did Stephen T Moore receive its 1083643589 assignment from the Centers for Medicare & Medicaid Services?
The Stephen T Moore was assigned its 1083643589 on 2006-06-30, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Stephen T Moore most recently updated or revised?
The details related to Stephen T Moore, including its address, specialty, and other relevant information, were last updated or revised on 2014-07-14.