Individual
DR. JOHN THOMAS MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
498 NW 18TH ST, RICHMOND, IN 47374-2851
(765) 935-9317
Mailing address
507 RUBYTHROAT LN, CLAYTON, OH 45315-8742
(937) 832-0572
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20010430A
IN
103TC0700X
Clinical Psychologist
5174
OH
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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