Individual
DR. TODD MICHAEL MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1111 NORTHSHORE DRIVE, SUITE S-490, KNOXVILLE, TN 37919
(865) 584-0171
(865) 584-0174
Mailing address
1111 NORTHSHORE DRIVE, SUITE S-490, KNOXVILLE, TN 37919
(865) 584-0171
(865) 584-0174
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2770
TN
Other
Enumeration date
07/31/2013
Last updated
07/31/2013
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