Individual
ANNA B MOORE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1441 CLIFTON RD NE, ATLANTA, GA 30322-1004
(404) 712-5512
(404) 778-4819
Mailing address
1365 CLIFTON RD NE, ATLANTA, GA 30322-1013
(404) 778-7402
(404) 778-4819
Taxonomy
Speciality
Code
Description
License number
State
103TR0400X
Rehabilitation Psychologist
Primary
PSY0002953
GA
Other
Enumeration date
06/01/2006
Last updated
07/08/2007
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