| Ms Natisha Monique Moore, PSYD, MD | |
|
Po Box 443, 278 Mattooks Road, Maysville, NC 28555 | |
| (910) 358-8564 | |
| Not Available |
| Full Name | Ms Natisha Monique Moore |
|---|---|
| Gender | Female |
| Speciality | Psychologist - Clinical |
| Location | Po Box 443, Maysville, North Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780503490 | NPI | - | NPPES |
| 6D80D2AE3A | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 420764 (Georgia) | Secondary |
| 103TC0700X | Psychologist - Clinical | 944592654T (Alabama) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Natisha Monique Moore, PSYD, MD Po Box 443, Maysville, NC 28555 Ph: (910) 358-8564 | Ms Natisha Monique Moore, PSYD, MD Po Box 443, 278 Mattooks Road, Maysville, NC 28555 Ph: (910) 358-8564 |