Individual
DR. KATHLEEN L. MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
417 S IRENA AVE, REDONDO BEACH, CA 90277-3819
(310) 540-7342
Mailing address
417 S IRENA AVE, REDONDO BEACH, CA 90277-3819
(310) 540-7342
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY17739
CA
Other
Enumeration date
03/28/2013
Last updated
03/28/2013
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