DR. Stephanie Diane Moore, PSY.D.
NPI #1396874087 in Waterford, Connecticut
Provider Information
- NPI Number
- 1396874087
- Entity Type
- Individual
- Name
- DR. Stephanie Diane Moore, PSY.D.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Psychologist - Clinical
- Credential
- PSY.D.
- Enumeration Date
- Mar 5, 2007
- Last Updated
- Jun 20, 2012
Practice Location
- Address
- 567 VAUXHALL STREET EXTENSION
- Address 2
- #107
- City
- Waterford
- State
- Connecticut
- ZIP Code
- 06385
- Phone
- (860) 439-1980
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
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