Individual
THOMAS MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
169 LIBBEY INDUSTRIAL PKWY FL 2, WEYMOUTH, MA 02189-3101
(781) 626-5463
Mailing address
169 LIBBEY INDUSTRIAL PKWY FL 2, WEYMOUTH, MA 02189-3101
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/25/2014
Last updated
03/17/2018
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