Laura Moore

NPI #1538621065 in Plainfield, Illinois

Provider Information

NPI Number: 1538621065
Entity Type: Individual
Name: Laura Moore
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist
Enumeration Date: Apr 3, 2019
Last Updated: Apr 3, 2019

Practice Location

Address: 24402 W LOCKPORT ST STE 223
City: Plainfield
State: Illinois
ZIP Code: 60544-4267
Phone: (630) 621-5824

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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