Damon Moore

NPI #1144829037 in Grosse Pointe Park, Michigan

Provider Information

NPI Number: 1144829037
Entity Type: Individual
Name: Damon Moore
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist
Enumeration Date: Oct 21, 2020
Last Updated: Oct 21, 2020

Practice Location

Address: 15450 E JEFFERSON AVE STE 180
City: Grosse Pointe Park
State: Michigan
ZIP Code: 48230-2031
Phone: (313) 444-4393

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - School — School	103TS0200X
Psychologist	103T00000X	Primary

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