Individual provider · Type 1 NPI

Myra Marie Moore

Psychologist · Summersville, WV

NPI number 1154673184 Active

Practice location

402 Church St Ste 2
Summersville, WV 26651-1495

Fax (304) 256-4715

Mailing address

PO Box 211
Mount Nebo, WV 26679-0211

Other practice locations

  • 111 Fayette Ave, Fayetteville, WV 25840-1219 · (304) 574-1176

Specialties and licenses

TaxonomyCodeLicense
School Psychologist 103TS0200X22070 (WV)
Psychologist Primary 103T00000X22070 (WV)

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 1154673184

Myra Marie Moore's National Provider Identifier is 1154673184, issued on Oct 15, 2012. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Summersville, WV. The record was last updated on Aug 15, 2023.