Individual
ROBERT L MOORE
Active
Individual
ROBERT L MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
EDD
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
P0000001682
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0157654
BCBS-ROBERT L. MOORE
TN
01
—
3687448
MEDICARE-ROBERT L. MOORE
TN
05
—
3687595
—
TN
01
—
4106061
BCBS - PARADIGM
TN
01
—
P00257346
RR MEDICARE PARADIGM
TN
Enumeration date
09/27/2006
Last updated
07/09/2007
Update your record
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