Timothy Glen Moore, PEER SUPPORT SPECIAL

NPI #1033501184 in Irving, Texas

Provider Information

NPI Number
1033501184
Entity Type
Individual
Name
Timothy Glen Moore, PEER SUPPORT SPECIAL
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Peer Specialist
Credential
PEER SUPPORT SPECIAL
Enumeration Date
Feb 26, 2015
Last Updated
Feb 26, 2015

Practice Location

Address
3317 FINLEY RD
Address 2
SUITE 120
City
Irving
State
Texas
ZIP Code
75062-8722
Phone
(817) 360-5364

Specialties & Taxonomy Codes

Specialty
Peer Specialist

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