Individual
DR. SUSAN MOONS MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
7010 W HIGHWAY 71, SUITE 340-143, AUSTIN, TX 78735-8300
(512) 301-0920
Mailing address
2200 BERGQUIST, SUITE 1, LACKLAND AFB, TX 78236-5300
(210) 292-6707
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
31396
TX
Other
Enumeration date
07/11/2006
Last updated
07/08/2007
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