Individual
DR. CHRISTINA EYMARD MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
12 C LEDGEBROOK DRIVE, MANSFIELD, CT 06250-1664
(860) 208-8944
Mailing address
12C LEDGEBROOK DR, MANSFIELD CENTER, CT 06250-1664
(860) 208-8944
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1443
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060001443CT01
ANTHEM BLUE CROSS BLUE SH
CT
01
—
102606
VALUEOPTIONS
CT
01
—
306587
MHN
CT
Enumeration date
10/20/2006
Last updated
07/08/2007
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