Individual
DR. ADELIA MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
120 W 15TH ST, APT. 2H, NEW YORK, NY 10011-6790
(917) 822-6319
Mailing address
120 W 15TH ST, APT. 2H, NEW YORK, NY 10011-6790
(917) 822-6319
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
002109
CT
103TC0700X
Clinical Psychologist
Primary
015935-1
NY
Other
Enumeration date
05/17/2007
Last updated
07/08/2007
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