Individual
DR. DANIEL L. MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
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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