Geraldene E Moore PH D

NPI 1063428365 - Psychologist - 103T00000X

NPI Details
NPI 1063428365
Gender Female
Enumeration Date 07/31/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
3805 MCCAIN PARK DRIVE
SUITE 116
NORTH LITTLE ROCK AR, 72116-7813, US
Phone (501) 758-9993
Fax (501) 758-5321
Business Location
3805 MCCAIN PARK DRIVE
SUITE 116
NORTH LITTLE ROCK AR, 72116-7813, US
Phone (501) 758-9993
Fax (501) 758-5321
Toxanomy
Taxonomy Code 103T00000X
License State Arkansas
License Number 869P
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According to our database, Dr. Geraldene E Moore PH D NPI is 1063428365, taxonomy code is 103T00000X and license number is 869P, license state is located at Arkansas. Geraldene E Moore PH D physically located at 3805 Mccain Park Drive, North Little Rock AR, 72116-7813. NPI Number Geraldene E Moore PH D has the Individual type.

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1063428365 NPI number is provided on an as is basis without warranty of any kind. 1063428365 is maintained by the National Plan & Provider Enumeration System. The contents of Geraldene E Moore PH D are for informational purposes only.