Individual
DR. DAVID BRUCE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD, LCSW,BCD, BCN
Contact information
Practice address
3400 STONY SPRING CIR, LOUISVILLE, KY 40220-5428
(502) 819-8300
(502) 499-4431
Mailing address
3400 STONY SPRING CIR, LOUISVILLE, KY 40220-5428
(502) 819-8300
(502) 499-4431
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
34002233A
IN
1041C0700X
Clinical Social Worker
Primary
506
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
82005067
—
KY
05
—
8290014300
—
KY
Enumeration date
09/06/2006
Last updated
10/01/2024
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