Organization
BRENDANMOOR THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DERIK BRENDAN MOORE LCSW (OWNER/PSYCHOTHERAPIST)
(267) 258-1027
Entity
Organization
Contact information
Practice address
451 ROXBOROUGH AVE, PHILADELPHIA, PA 19128-3536
(267) 258-1027
Mailing address
451 ROXBOROUGH AVE, PHILADELPHIA, PA 19128-3536
(267) 258-1027
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/26/2024
Last updated
09/05/2025
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