Individual
DR. MARY VAUGHN MOOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1518 SAVANNAH RD, LEWES, DE 19958
(302) 448-4266
(302) 448-4193
Mailing address
1518 SAVANNAH RD, LEWES, DE 19958
(302) 448-4266
(302) 448-4193
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
B1-0000901
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
510402460
—
DE
Enumeration date
11/04/2011
Last updated
01/31/2019
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