Dr Richard L Moore, EDD is a
Psychologist based in Russellville, Arkansas. Dr Richard L Moore is licensed to practice in Arkansas (license number 938P) and his current practice location is
110 Skyline Dr, Russellville, Arkansas. He can be reached at his office (for appointments etc.) via phone at
(479) 968-1298.
NPI number for Dr Richard L Moore is 1588769491 and his current mailing address is 350 Salem Rd, Ste 1, Conway, Arkansas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1588769491.
Healthcare Provider's Profile
Full Name | Dr Richard L Moore |
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Gender | Male |
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Speciality | Psychologist |
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Location | 110 Skyline Dr, Russellville, Arkansas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1588769491
- Provider Enumeration Date: 09/14/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Richard L Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1588769491 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | P8011105 (Arkansas) | Primary |
103T00000X | Psychologist | 938P (Arkansas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Richard L Moore is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Richard L Moore, EDD 350 Salem Rd, Ste 1, Conway, AR 72034 Ph: (501) 336-8300 | Dr Richard L Moore, EDD 110 Skyline Dr, Russellville, AR 72801-3362 Ph: (479) 968-1298 |
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