Individual
ANNE L MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
4536 BARCLAY DR, SUITE A, ATLANTA, GA 30338-5802
(770) 458-8711
(770) 458-8640
Mailing address
4536 BARCLAY DR, SUITE A, ATLANTA, GA 30338-5802
(770) 458-8711
(770) 458-8640
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY002633
GA
Other
Enumeration date
10/24/2006
Last updated
07/08/2007
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