Individual
DR. MELINDA MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
144 E LOWRY LN, LEXINGTON, KY 40503-2403
(703) 220-9252
Mailing address
144 E LOWRY LN, LEXINGTON, KY 40503-2403
(703) 220-9252
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
129939
KY
Other
Enumeration date
06/19/2020
Last updated
06/19/2020
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