| Robert Moore | |
|
719 N Greenfield Dr Freeport IL 61032-2940 | |
| (815) 275-0367 | |
| Not Available |
| Full Name | Robert Moore |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 719 N Greenfield Dr, Freeport, Illinois |
| Authorized Official Name and Position | Robert Maurice Moore (BEHAVIOR ANALYST) |
| Authorized Official Contact | 8152750367 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Moore 719 N Greenfield Dr Freeport IL 61032-2940 Ph: (815) 275-0367 | Robert Moore 719 N Greenfield Dr Freeport IL 61032-2940 Ph: (815) 275-0367 |
| NPI Number | 1184021255 |
|---|---|
| Provider Enumeration Date | 12/04/2014 |
| Last Update Date | 12/04/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184021255 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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