DR. Mary Ann Moore, PSY.D.

NPI #1770197766 in Johnson City, New York

Provider Information

NPI Number: 1770197766
Entity Type: Individual
Name: DR. Mary Ann Moore, PSY.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist - Clinical
Credential: PSY.D.
Enumeration Date: Sep 7, 2020
Last Updated: Sep 7, 2020

Practice Location

Address: 679 MAIN ST
City: Johnson City
State: New York
ZIP Code: 13790-1716
Phone: (607) 237-0645

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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