Individual
ROBERT JOSEPH MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S
Contact information
Practice address
2700 ROBERT T LONGWAY BLVD, FLINT, MI 48503-2190
(810) 257-3709
Mailing address
1002 WILLIAMS ST, VASSAR, MI 48768-1139
(586) 344-8113
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6362009228
MI
106S00000X
Behavior Technician
—
—
Other
Enumeration date
06/13/2017
Last updated
01/12/2021
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