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MICHELLE MOORE PHD LLC NPI 1659606705


NPI Information

NPI: 1659606705
Provider Name: MICHELLE MOORE, PHD, LLC

Doing Business As: MOORE BEHAVIORAL HEALTH

Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

Address:
1710 BEARBERRY CIR APT 101
LUTZ, FL
ZIP 33559
Phone: (303) 345-3728
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MICHELLE MOORE, PHD, LLC is a clinical psychologist in Lutz, FL. The provider is 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 breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. MICHELLE MOORE, PHD, LLC NPI is 1659606705. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Moore Behavioral Health.

The provider's business location address is:

1710 BEARBERRY CIR APT 101
LUTZ, FL
ZIP 33559-781
Phone: (303) 345-3728
Fax: (888) 868-5424

The provider's authorized official is Michelle Renee Widows .
The authorized official title is Clinical Psychologist and has the following contact phone number (303) 345-3728.

The enumeration date for this NPI number is 10/7/2009 and was last updated on 6/14/2012.


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
1103T00000XPsychologist3155COLORADONo
2103TC0700XPsychologistClinical3155COLORADONo
3103TH0004XPsychologistHealth3155COLORADONo
4103TC0700XPsychologistClinicalPY6699FLORIDAYes

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: 4/28/2024

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