Individual provider · Type 1 NPI

Mark Moore, PhD

Prescribing (Medical) Psychologist · Philadelphia, PA

NPI number 1669690905 Active

Practice location

230 W Washington Sq, 2nd Floor
Philadelphia, PA 19106-3500

Call (215) 829-6088 Map

Fax (215) 829-6104

Specialties and licenses

TaxonomyCodeLicense
Prescribing (Medical) Psychologist Primary 103TP0016XPS015627 (PA)

Prescribing (Medical) Psychologist: A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or…

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About NPI 1669690905

Mark Moore, PhD's National Provider Identifier is 1669690905, issued on Apr 23, 2007. The primary taxonomy on file is Prescribing (Medical) Psychologist (103TP0016X), and the practice location is in Philadelphia, PA. The record was last updated on Jul 8, 2007.