Individual
JESSICA MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
300 CRITTENDEN BLVD, DEPT OF PSYCHIATRY, ROCHESTER, NY 14642-0001
(585) 922-4886
(585) 276-2292
Mailing address
300 CRITTENDEN BLVD, DEPT OF PSYCHIATRY, ROCHESTER, NY 14642-0001
(585) 922-4886
(585) 276-2292
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
20367
NY
103TC0700X
Clinical Psychologist
Primary
020367
NY
Other
Enumeration date
06/18/2009
Last updated
07/06/2023
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