Individual provider · Type 1 NPI
Gennea Nickole Moore, LLP
Psychologist · Roseville, MI
Practice location
18303 E 10 Mile Rd
Roseville, MI 48066-4988
Mailing address
22524 Schroeder Ave
Eastpointe, MI 48021-4010
Other practice locations
- 22708 Harper Ave, St. Clair Shores, MI 48080-1823 · (586) 264-3692
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist | 103T00000X | 6301013299 (MI) |
| Clinical Psychologist | 103TC0700X | 6301013299 (MI) |
| Psychologist Primary | 103T00000X | 6351000450 (MI) |
Psychologist: 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 adjustmen…
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About NPI 1043458516
Gennea Nickole Moore, LLP's National Provider Identifier is 1043458516, issued on Jan 21, 2009. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Roseville, MI. The record was last updated on Aug 9, 2022.