Individual
DR. JILL MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
4863 N NEVADA AVE STE 250, COLORADO SPRINGS, CO 80918
(719) 255-8001
(719) 255-8044
Mailing address
4863 N NEVADA AVE, STE 250, COLORADO SPRINGS, CO 80918-3951
(719) 203-8205
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY0004390
CO
Other
Enumeration date
05/11/2011
Last updated
07/12/2018
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