Dr Mary E Moore, PHD is a
Psychologist based in San Bernandino, California. Dr Mary E Moore is licensed to practice in California (license number PSY10159) and her current practice location is
325 W Hospitality Lane, Suite 310, San Bernandino, California. She can be reached at her office (for appointments etc.) via phone at
(909) 386-5500.
NPI number for Dr Mary E Moore is 1871799957 and her current mailing address is 325 W Hospitality Lane, Suite 310, San Bernandino, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1871799957.
Healthcare Provider's Profile
| Full Name | Dr Mary E Moore |
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| Gender | Female |
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| Speciality | Psychologist |
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| Location | 325 W Hospitality Lane, San Bernandino, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1871799957
- Provider Enumeration Date: 06/25/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Mary E Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1871799957 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103T00000X | Psychologist | PSY10159 (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. Dr Mary E 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 |
|---|
Dr Mary E Moore, PHD
325 W Hospitality Lane, Suite 310,
San Bernandino, CA 92408-3212
Ph: (909) 386-5500 | Dr Mary E Moore, PHD
325 W Hospitality Lane, Suite 310,
San Bernandino, CA 92408-3212
Ph: (909) 386-5500 |
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