| Moore Psychological Services, Pllc | |
|
1908 West 21st Street Clovis NM 88101 | |
| (575) 760-1535 | |
| (800) 561-2091 |
| Full Name | Moore Psychological Services, Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 1908 West 21st Street, Clovis, New Mexico |
| Authorized Official Name and Position | Karlen Brook Moore (DIRECTOR/ OWNER) |
| Authorized Official Contact | 5757601535 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Moore Psychological Services, Pllc 609 Providence Cir Clovis NM 88101-1083 Ph: (575) 760-1535 | Moore Psychological Services, Pllc 1908 West 21st Street Clovis NM 88101 Ph: (575) 760-1535 |
| NPI Number | 1518453521 |
|---|---|
| Provider Enumeration Date | 07/03/2018 |
| Last Update Date | 07/03/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518453521 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PSY1511 (New Mexico) | Primary |
| 104100000X | Social Worker | (New Mexico) | Secondary |
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