Organization
MICHELLE MOORE, PHD, LLC
Active
Other names
Moore Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHELLE RENEE WIDOWS PHD (CLINICAL PSYCHOLOGIST)
(303) 345-3728
Entity
Organization
Contact information
Practice address
1710 BEARBERRY CIR APT 101, LUTZ, FL 33559-8781
(303) 345-3728
(888) 868-5424
Mailing address
1710 BEARBERRY CIR APT 101, LUTZ, FL 33559-8781
(303) 345-3728
(888) 868-5424
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
3155
CO
103TC0700X
Clinical Psychologist
3155
CO
103TC0700X
Clinical Psychologist
Primary
PY6699
FL
103TH0004X
Health Psychologist
3155
CO
Other
Enumeration date
10/07/2009
Last updated
06/14/2012
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