Mrs Tom Leroy Moore, MFT is a
Marriage & Family Therapist based in French Camp, California. Mrs Tom Leroy Moore is licensed to practice in California (license number MFC 43541) and his current practice location is
7000 Michael Canlis Way, French Camp, California. He can be reached at his office (for appointments etc.) via phone at
(209) 468-5505.
NPI number for Mrs Tom Leroy Moore is 1972705028 and his current mailing address is 21801 E 3rd Ave, Linden, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1972705028.
Healthcare Provider's Profile
Full Name | Mrs Tom Leroy Moore |
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Gender | Male |
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Speciality | Marriage & Family Therapist |
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Location | 7000 Michael Canlis Way, French Camp, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1972705028
- Provider Enumeration Date: 06/01/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mrs Tom Leroy Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1972705028 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | MFC 43541 (California) | 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. Mrs Tom Leroy 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 |
Mrs Tom Leroy Moore, MFT 21801 E 3rd Ave, Linden, CA 95236-9736 Ph: (209) 887-3218 | Mrs Tom Leroy Moore, MFT 7000 Michael Canlis Way, French Camp, CA 95231-9781 Ph: (209) 468-5505 |
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