Individual
DR. KIRSTEN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
4080 MCGINNIS FERRY RD, STE. 204, ALPHARETTA, GA 30005-3948
(678) 644-0039
(678) 669-2740
Mailing address
220 CHISWICK CLOSE, JOHNS CREEK, GA 30022-6675
(678) 644-0039
(678) 669-2740
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY003755
GA
Other
Enumeration date
09/17/2008
Last updated
02/26/2014
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