Individual
DR. NICHOLAS M MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
7 BROOKVIEW DR, ATCO, NJ 08004-2931
(856) 658-7653
Mailing address
10000 MIDLANTIC DR STE 101E, MOUNT LAUREL, NJ 08054-1504
(732) 982-2888
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
07284
MD
103TC0700X
Clinical Psychologist
Primary
35SI00631200
NJ
103TC0700X
Clinical Psychologist
PS020137
PA
103TC0700X
Clinical Psychologist
PY10540
FL
Other
Enumeration date
08/14/2019
Last updated
09/25/2024
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