Individual
ROBERT L MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
EDD
Contact information
Practice address
1503 HATCHER LN STE 160, COLUMBIA, TN 38401-4823
(931) 381-3523
(931) 380-3963
Mailing address
1503 HATCHER LN STE 160, COLUMBIA, TN 38401-4823
(931) 381-3523
(931) 380-3963
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
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