Individual
DR. TERRY WILLIAM MOORE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
408 N KENDRICK ST, FLAGSTAFF, AZ 86001-1582
(928) 774-6364
(928) 556-0504
Mailing address
2224 N LANTERN LN, FLAGSTAFF, AZ 86001-1133
(928) 774-6824
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
33811
WY
103TC1900X
Counseling Psychologist
1098
AZ
103TC1900X
Counseling Psychologist
172
WY
Other
Enumeration date
04/07/2006
Last updated
09/11/2025
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