Individual
STEVEN D MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1680 ALBANY AVE, HARTFORD, CT 06105-1001
(860) 719-2173
Mailing address
1680 ALBANY AVE, HARTFORD, CT 06105-1001
(860) 719-2173
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
001265
CT
Other
Enumeration date
08/22/2006
Last updated
08/12/2020
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