Individual
DR. JEANNE LYNN MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
30131 TOWN CENTER DR SUITE 235, LAGUNA NIGUEL, CA 92677-2033
(949) 433-9546
(949) 215-8408
Mailing address
30131 TOWN CENTER DR SUITE 235, LAGUNA NIGUEL, CA 92677-2033
(949) 433-9546
(949) 215-8408
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY17812
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
FW675A
—
CA
Enumeration date
10/10/2006
Last updated
02/16/2023
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