Individual
DANIEL MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
10 GOVE ST, EAST BOSTON, MA 02128-1920
(617) 569-5800
Mailing address
10 GOVE ST, EAST BOSTON, MA 02128-1920
(617) 569-5800
(617) 568-4756
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
11970
MA
Other
Enumeration date
08/28/2018
Last updated
08/25/2023
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