| James V Moore Ph D Psychologist Inc | |
|
1844 San Miguel Dr Suite #300a Walnut Creek CA 94596-4962 | |
| (925) 935-4448 | |
| (925) 935-5135 |
| Full Name | James V Moore Ph D Psychologist Inc |
|---|---|
| Speciality | Psychologist |
| Location | 1844 San Miguel Dr, Walnut Creek, California |
| Authorized Official Name and Position | James Vernon Moore (PRESIDENT/PSYCHOTHERAPIST) |
| Authorized Official Contact | 9259354448 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| James V Moore Ph D Psychologist Inc 1844 San Miguel Dr Suite #300a Walnut Creek CA 94596-4962 Ph: (925) 935-4448 | James V Moore Ph D Psychologist Inc 1844 San Miguel Dr Suite #300a Walnut Creek CA 94596-4962 Ph: (925) 935-4448 |
| NPI Number | 1225341084 |
|---|---|
| Provider Enumeration Date | 07/22/2010 |
| Last Update Date | 08/05/2010 |
| Medicare PECOS PAC ID | 9537293709 |
|---|---|
| Medicare Enrollment ID | O20100810001159 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225341084 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY4917 (California) | Primary |
| Provider Name | James V Moore |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1225138282 PECOS PAC ID: 0345374518 Enrollment ID: I20100810001178 |
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