Individual provider · Type 1 NPI

Nichole Moore

Developmental Therapist · Greensboro, NC

NPI number 1013269422 Active

Practice location

3511 W Market St, Ste. B
Greensboro, NC 27403-4443

Call (336) 294-3338 Map

Fax (336) 294-6696

Mailing address

604 Peach Orchard Dr
Browns Summit, NC 27214-9498

Specialties and licenses

TaxonomyCodeLicense
Developmental Therapist Primary 222Q00000XNone listed

Developmental Therapist: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Deve…

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About NPI 1013269422

Nichole Moore's National Provider Identifier is 1013269422, issued on Oct 9, 2012. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Greensboro, NC. The record was last updated on Oct 9, 2012.