Individual
DR. DARRYL KENNETH MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
3110 CAMINO DEL RIO S STE 220, SAN DIEGO, CA 92108
(858) 433-8751
(858) 433-0118
Mailing address
3110 CAMINO DEL RIO S STE 220, SAN DIEGO, CA 92108-3831
(858) 433-8751
(858) 433-0118
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
PSY22459
CA
103TC0700X
Clinical Psychologist
Primary
PSY22459
CA
Other
Enumeration date
09/07/2006
Last updated
09/27/2018
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