Kathryn Elaine Moore, PHD

NPI #1730614660 in Midwest City, Oklahoma

Provider Information

NPI Number: 1730614660
Entity Type: Individual
Name: Kathryn Elaine Moore, PHD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist - School
Credential: PHD
Enumeration Date: Apr 28, 2017
Last Updated: Apr 28, 2017

Practice Location

Address: 1212 S AIR DEPOT BLVD STE 17
City: Midwest City
State: Oklahoma
ZIP Code: 73110-4860
Phone: (405) 355-6868

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - School — School	103TS0200X	Primary

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