DR. Stan Robert Moore, PH.D.

NPI #1356677108 in Solana Beach, California

Provider Information

NPI Number
1356677108
Entity Type
Individual
Name
DR. Stan Robert Moore, PH.D.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Psychologist - Clinical
Credential
PH.D.
Enumeration Date
Oct 29, 2009
Last Updated
Oct 29, 2009

Practice Location

Address
530 LOMAS SANTA FE DR
Address 2
SUITE M
ZIP Code
92075-1349
Phone
(619) 464-1165

Specialties & Taxonomy Codes

Specialty
Psychologist - ClinicalClinical

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