Individual
BRITTANY MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ED.S, HHC, NCSP
Contact information
Practice address
143 SKATEWAY DR, FAYETTEVILLE, NC 28304-2640
(910) 864-6257
Mailing address
6225 INDEPENDENCE PLACE DR APT 1336, FAYETTEVILLE, NC 28303-0229
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
47172
PA
171M00000X
Case Manager/Care Coordinator
—
—
174H00000X
Health Educator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1275172298
—
NC
Enumeration date
03/31/2020
Last updated
04/02/2020
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