Organization
EVAN MOORE PSYCHIATRY PLLC
Active
Other names
Evan Moore Psychiatry PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EVAN C MOORE DNP, PMHNP-BC (SOLE PROVIDER, OWNER)
(480) 235-9434
Entity
Organization
Contact information
Practice address
71 GRANT ST, BANGOR, ME 04401-3821
(480) 235-9434
Mailing address
73 HAMMOND ST. STE 9998, PO BOX NUMBER 224, BANGOR, ME 04401
(480) 235-9434
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
10/19/2023
Last updated
10/19/2023
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