Individual
HALLEY M MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
625 14TH ST, PASO ROBLES, CA 93446-2285
(805) 234-3238
Mailing address
625 14TH ST, PASO ROBLES, CA 93446-2285
(805) 234-3238
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY26358
CA
Other
Enumeration date
03/19/2012
Last updated
06/05/2014
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