Individual
MRS. DONNA LYNN MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.S.
Contact information
Practice address
5620 TARA BLVD STE 103, BRADENTON, FL 34203-8865
(941) 254-0861
Mailing address
6144 9TH AVENUE CIR NE, BRADENTON, FL 34212-9559
(941) 254-0861
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
SS1441
FL
174400000X
Specialist
—
—
222Q00000X
Developmental Therapist
—
—
Other
Enumeration date
09/21/2012
Last updated
02/19/2026
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