Kelly M Moore, PH.D.

NPI #1477960433 in Hines, Illinois

Provider Information

NPI Number: 1477960433
Entity Type: Individual
Name: Kelly M Moore, PH.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist
Credential: PH.D.
Enumeration Date: Jul 22, 2014
Last Updated: Jul 22, 2014

Practice Location

Address: 5000 S 5TH AVE
City: Hines
State: Illinois
ZIP Code: 60141-3030
Phone: (708) 774-0246

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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