Individual
DR. DANIEL L. MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
805 STUBBS AVE, SUITE B, MONROE, LA 71201-5578
(318) 340-9020
Mailing address
805 STUBBS AVENUE, SUITE B, MONROE, LA 71201
(318) 340-9020
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
756
LA
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
756
LA
Other
Enumeration date
06/17/2010
Last updated
06/24/2010
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