Individual
DR. KATHLEEN MCGUIRE-MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
755 W BIG BEAVER RD, TROY, MI 48084-4900
(248) 546-8914
(248) 269-6047
Mailing address
817 LOCKWOOD RD, ROYAL OAK, MI 48067-1609
(248) 546-8914
(248) 269-6047
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301005835
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
680-F3-3047
BCBS PIN
MI
Enumeration date
03/06/2007
Last updated
07/08/2007
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