Myra Marie Moore

NPI #1154673184 in Summersville, West Virginia

Provider Information

NPI Number: 1154673184
Entity Type: Individual
Name: Myra Marie Moore
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist
Enumeration Date: Oct 15, 2012
Last Updated: Aug 15, 2023

Practice Location

Address: 402 CHURCH ST STE 2
City: Summersville
State: West Virginia
ZIP Code: 26651-1495
Phone: (304) 256-4555

Specialties & Taxonomy Codes

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

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