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Individual

DR. KATIE MOORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSYD

Contact information

Practice address
6402 ODANA RD STE 201, MADISON, WI 53719-1123
(608) 609-3555
(608) 620-0109
Mailing address
6402 ODANA RD STE 201, MADISON, WI 53719-1123
(608) 609-3555
(608) 620-0109

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
103TC0700X
Clinical Psychologist
3623-57
WI
103TC2200X
Clinical Child & Adolescent Psychologist
3623
WI

Other

Enumeration date
10/01/2018
Last updated
07/14/2023
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