Individual provider · Type 1 NPI

Justin Anthony Moore

Psychologist · Northfield, IL

NPI number 1487005393 Active

Practice location

400 Central Ave Ste 220
Northfield, IL 60093-3024

Mailing address

1189 Wilmette Ave Ste 263
Wilmette, IL 60091-2719

Other practice locations

  • 9751 Watts Rd, Verona, WI 53593-9377 · (973) 851-7255

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000X3606-57 (WI)

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 1487005393

Justin Anthony Moore's National Provider Identifier is 1487005393, issued on Jun 22, 2016. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Northfield, IL. The record was last updated on Dec 1, 2023.