Individual provider · Type 1 NPI

Sandra Louise Moore

Peer Specialist · Oklahoma City, OK

NPI number 1780591693 Active

Practice location

10300 Buffalo Wallow Rd
Oklahoma City, OK 73131-4608

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1780591693

Sandra Louise Moore's National Provider Identifier is 1780591693, issued on Aug 26, 2026. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Oklahoma City, OK. The record was last updated on Aug 26, 2026.