Individual
CINDY S MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MAHSP
Contact information
Practice address
103 OAKMONT DR, STE 2 AND 3, GREENVILLE, NC 27858
(252) 321-1570
(252) 321-6528
Mailing address
103 OAKMONT DR, STE 2 AND 3, GREENVILLE, NC 27858
(252) 321-1570
(252) 321-6528
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0421
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
144M7
BCBS
NC
01
—
562165173
FED IDENTIFICATION NUMBER
—
Enumeration date
01/04/2007
Last updated
03/30/2009
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