Individual
DR. JILL B NEALEY-MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
621 PACIFIC AVE, STE 310, TACOMA, WA 98402-4600
(253) 444-3557
Mailing address
621 PACIFIC AVE, STE 310, TACOMA, WA 98402-4600
(253) 444-3557
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY00003515
WA
103TH0004X
Health Psychologist
PY00003515
WA
Other
Enumeration date
06/08/2009
Last updated
06/08/2009
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