Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Individual
DR. CHARLES N MOORE JR.
Active
Individual
DR. CHARLES N MOORE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.MIN.
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
2097
MA
103TC0700X
Clinical Psychologist
2097
MA
103TF0000X
Family Psychologist
Primary
2097
MA
103TF0200X
Forensic Psychologist
2097
MA
Other
Enumeration date
12/14/2006
Last updated
09/11/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up