Individual
DR. JEFFREY L MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
220 HOVEY RD, PENSACOLA, FL 32508-1044
(850) 452-2157
(850) 452-2690
Mailing address
8870 BURNING TREE RD, PENSACOLA, FL 32514-5602
(850) 474-1147
(850) 474-1147
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
0810001376
VA
Other
Enumeration date
01/12/2006
Last updated
07/18/2007
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