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
- City
- Twain Harte
- State
- California
- ZIP Code
- 95383-9681
- Phone
- (209) 586-3707
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
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