MS. Tracie Moore, PH.D.

NPI #1710139720 in Twain Harte, California

Provider Information

NPI Number
1710139720
Entity Type
Individual
Name
MS. Tracie Moore, PH.D.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Psychologist - Clinical
Credential
PH.D.
Enumeration Date
Oct 21, 2008
Last Updated
Oct 21, 2008

Practice Location

Address
22569 MIDDLE CAMP RD
ZIP Code
95383-9681
Phone
(209) 586-3707

Specialties & Taxonomy Codes

Specialty
Psychologist - ClinicalClinical

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