Individual provider · Type 1 NPI

Tracie Moore, PhD

Clinical Psychologist · Twain Harte, CA

NPI number 1710139720 Active

Practice location

22569 Middle Camp Rd
Twain Harte, CA 95383-9681

Fax (209) 586-3707

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X12107 (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…

About NPI 1710139720

Tracie Moore, PhD's National Provider Identifier is 1710139720, issued on Oct 21, 2008. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Twain Harte, CA. The record was last updated on Oct 21, 2008.