Individual
MRS. REBA ANN MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.S.
Contact information
Practice address
85 W POINT DR, CORBIN, KY 40701-8898
(606) 523-9723
Mailing address
2865 BEE CREEK RD, CORBIN, KY 40701-7804
(606) 523-9723
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
0008
KY
Other
Enumeration date
04/29/2008
Last updated
04/29/2008
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