Individual
ROBIN MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMLP-T
Contact information
Practice address
100 S MAIN ST STE 505, WICHITA, KS 67202-3738
(316) 688-8390
Mailing address
7321 E 35TH ST N, WICHITA, KS 67226-3803
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
03299
KS
Other
Enumeration date
04/18/2024
Last updated
04/18/2024
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