DR. Kenneth Steven Moore, MHP
NPI #1710358445 in Bennington, Vermont
Provider Information
- NPI Number
- 1710358445
- Entity Type
- Individual
- Name
- DR. Kenneth Steven Moore, MHP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Psychologist
- Credential
- MHP
- Enumeration Date
- Oct 7, 2015
- Last Updated
- Dec 22, 2015
Practice Location
- Address
- 100 LEDGEHILL RD
- City
- Bennington
- State
- Vermont
- ZIP Code
- 05201-2273
- Phone
- (802) 442-5491
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Family — Family |
| Psychologist |
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