Individual
DR. MARK MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
230 W WASHINGTON SQ, 2ND FLOOR, PHILADELPHIA, PA 19106-3500
(215) 829-6088
(215) 829-6104
Mailing address
230 W WASHINGTON SQ, 2ND FLOOR, PHILADELPHIA, PA 19106-3500
(215) 829-6088
(215) 829-6104
Taxonomy
Speciality
Code
Description
License number
State
103TP0016X
Prescribing (Medical) Psychologist
Primary
PS015627
PA
Other
Enumeration date
04/23/2007
Last updated
07/08/2007
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