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DEBRA MOORE PH.D. NPI 1114041191


NPI Information

NPI: 1114041191
Provider Name: DEBRA MOORE, PH.D.

Doing Business As: FALL CREEK COUNSELING ASSOCIATES

Classification: Psychologist - 103T00000X
Entity Type: Organization
Address:
775 SUNRISE AVE
SUITE 110
ROSEVILLE, CA
ZIP 95661
Phone: (916) 344-0900
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DEBRA MOORE, PH.D. is a psychologist in Roseville, CA. The provider is a psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. DEBRA MOORE, PH.D. NPI is 1114041191. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Fall Creek Counseling Associates.

The provider's business location address is:

775 SUNRISE AVE
SUITE 110
ROSEVILLE, CA
ZIP 95661-523
Phone: (916) 344-0900

The provider's authorized official is Debra Moore .
The authorized official title is Owner and has the following contact phone number (916) 344-0900.

The enumeration date for this NPI number is 3/16/2007 and was last updated on 8/4/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103T00000XPsychologistPSY8578CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1ZZZ32170ZMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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