Individual
DR. CHARLES N MOORE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.MIN.
Contact information
Practice address
23 SPRING ST, ESSEX, MA 01929-1311
(978) 884-8641
Mailing address
23 SPRING ST, ESSEX, MA 01929-1311
(978) 884-8641
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
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