Organization
MOORE PSYCHOLOGICAL SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KARLEN BROOK MOORE PH.D. (DIRECTOR/ OWNER)
(575) 760-1535
Entity
Organization
Contact information
Practice address
1908 WEST 21ST STREET, CLOVIS, NM 88101
(575) 760-1535
(800) 561-2091
Mailing address
609 PROVIDENCE CIR, CLOVIS, NM 88101-1083
(575) 760-1535
(800) 561-2091
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY1511
NM
104100000X
Social Worker
—
NM
Other
Enumeration date
07/03/2018
Last updated
07/03/2018
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