Individual
DR. TAMMIE DUCRE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
232 E CHATHAM ST, CARY, NC 27511-3459
(919) 467-3831
(919) 467-1611
Mailing address
232 E CHATHAM ST, CARY, NC 27511-3459
(919) 467-3831
(919) 467-1611
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2878
NC
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC1900X
Counseling Psychologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
045XH
BLUE CROSS BLUE SHIELD
NC
05
—
TMOORE32
—
NC
Enumeration date
05/03/2007
Last updated
12/03/2019
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