Organization
MARCIA S. MOORE, PH.D., PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARCIA S. MOORE PH.D. (PSYCHOLOGIST)
(405) 755-5801
Entity
Organization
Contact information
Practice address
4140 W MEMORIAL RD, STE. 221, OKLAHOMA CITY, OK 73120-8366
(405) 755-5801
(405) 755-5949
Mailing address
4140 W MEMORIAL RD, STE. 221, OKLAHOMA CITY, OK 73120-8366
(405) 755-5801
(405) 755-5949
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
415
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1194739102
NPI INDIVIDUAL NUMBER
OK
Enumeration date
04/27/2010
Last updated
04/27/2010
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