Individual
LAURA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
9631 W 153RD ST STE 33, ORLAND PARK, IL 60462-3778
(630) 800-9905
Mailing address
9631 W 153RD ST STE 33, ORLAND PARK, IL 60462-3778
(630) 800-9905
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
071009888
IL
103TC0700X
Clinical Psychologist
Primary
071009888
IL
Other
Enumeration date
04/03/2019
Last updated
03/16/2026
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