Individual
CHARLOTTE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13 MARINA PARK DR, FRANKFORD, DE 19945-9693
(302) 573-1247
Mailing address
13 MARINA PARK DR, FRANKFORD, DE 19945-9693
(302) 573-1247
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
250569264
—
DE
Enumeration date
11/24/2020
Last updated
11/24/2020
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