Organization
CENTERVILLEABINGTON CS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL E MOORE MA (SCHOOL PSYCHOLOGIST)
(765) 855-5132
Entity
Organization
Contact information
Practice address
115 W SOUTH ST, CENTERVILLE, IN 47330-1436
(765) 855-5132
(765) 855-2524
Mailing address
115 W SOUTH ST, CENTERVILLE, IN 47330-1436
(765) 855-5132
(765) 855-2524
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Enumeration date
03/23/2007
Last updated
08/22/2020
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