Individual provider · Type 1 NPI

Marie C. Moore, PhD

Clinical Psychologist · Los Angeles, CA

NPI number 1639211493 Active

Practice location

1145 Gayley Ave, Suite 322
Los Angeles, CA 90024-3423

Fax (310) 208-0684

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700XPSY15404 (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 1639211493

Marie C. Moore, PhD's National Provider Identifier is 1639211493, issued on Feb 12, 2007. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Los Angeles, CA. The record was last updated on Jul 8, 2007.