Organization
MOORE PSYCHOTHERAPY CARE LLC
Active
Organization
MOORE PSYCHOTHERAPY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK ANTHONY MOORE PH.D. (PROPRIETOR)
(267) 879-4110
Entity
Organization
Contact information
Practice address
2400 CHESTNUT ST APT 2810, PHILADELPHIA, PA 19103-4325
(267) 879-4110
Mailing address
2400 CHESTNUT ST APT 2810, PHILADELPHIA, PA 19103-4325
(267) 879-4110
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS015627
PA
Other
Enumeration date
02/09/2014
Last updated
02/21/2024
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