MS. Gennea Nickole Moore, LLP

NPI #1043458516 in Roseville, Michigan

Provider Information

NPI Number: 1043458516
Entity Type: Individual
Name: MS. Gennea Nickole Moore, LLP
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist
Credential: LLP
Enumeration Date: Jan 21, 2009
Last Updated: Aug 9, 2022

Practice Location

Address: 18303 E 10 MILE RD
City: Roseville
State: Michigan
ZIP Code: 48066-4988
Phone: (248) 469-9519

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary
Psychologist - Clinical — Clinical	103TC0700X

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