Individual provider · Type 1 NPI

Stan Robert Moore, PhD

Clinical Psychologist · Solana Beach, CA

NPI number 1356677108 Active

Practice location

530 Lomas Santa Fe Dr, Suite M
Solana Beach, CA 92075-1349

Call (619) 464-1165 Map

Fax (619) 464-1157

Mailing address

PO Box 549
Poway, CA 92074-0549

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700XPSY14910 (CA)

Clinical Psychologist: 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 discip…

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About NPI 1356677108

Stan Robert Moore, PhD's National Provider Identifier is 1356677108, issued on Oct 29, 2009. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Solana Beach, CA. The record was last updated on Oct 29, 2009.