Individual
MR. DENNIS RAY MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A., NCSP
Contact information
Practice address
258 SOUTH STATE STREET, R & L OFFICE CENTER, NEWTOWN, PA 18940
(215) 860-2240
(215) 860-6778
Mailing address
258 SOUTH STATE STREET, R & L OFFICE CENTER, NEWTOWN, PA 18940
(215) 860-2240
(215) 860-6778
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS004703L
PA
Other
Enumeration date
12/12/2006
Last updated
07/09/2007
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