Individual provider · Type 1 NPI

Mary Ann Moore, PSY.D.

Clinical Psychologist · Johnson City, NY

NPI number 1770197766 Active

Practice location

679 Main St
Johnson City, NY 13790-1716

Mailing address

119 Oconnell Rd
Vestal, NY 13850-6001

Other practice locations

  • 119 Oconnell Rd, Vestal, NY 13850-6001 · (607) 239-8063

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X011128-1 (NY)

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 1770197766

Mary Ann Moore, PSY.D.'s National Provider Identifier is 1770197766, issued on Sep 7, 2020. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Johnson City, NY. The record was last updated on Sep 7, 2020.