Individual
KELLY MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
128 BORTONS LANDING RD, SUITE 2, MOORESTOWN, NJ 08057-3011
(856) 261-6590
Mailing address
PO BOX 644, RANCOCAS, NJ 08073-0644
(856) 261-6590
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS017654
PA
Other
Enumeration date
12/16/2014
Last updated
12/16/2014
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