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Individual

DR. LEYONITA MOORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
333 E CAMPUS MALL 7TH FLR, MADISON, WI 53715
(608) 265-5600
Mailing address
333 E CAMPUS MALL, MADISON, WI 53715-1365

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
021049-1
NY
103T00000X
Psychologist
Primary
3920
WI
103TC1900X
Counseling Psychologist
021049-1
NY
103TC1900X
Counseling Psychologist
3920
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
021049
LICENSE
NY
01
3920
LICENSE
WI
01
56974
NATIONAL REGISTER OF HEALTH SERVICE PSYCHOLOGISTS
Enumeration date
12/29/2017
Last updated
06/20/2026
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