Individual
DR. DIXIE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1501 FONTAINE RD, # A, LEXINGTON, KY 40502-1929
(859) 263-2772
(859) 263-2770
Mailing address
1501 FONTAINE RD, # A, LEXINGTON, KY 40502-1929
(859) 263-2772
(859) 263-2770
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
488
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89004881
—
KY
Enumeration date
01/01/2007
Last updated
12/15/2016
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