DR. Melissa Delarosa Moore, ED.D.

NPI #1821689852 in La Grange, Illinois

Provider Information

NPI Number: 1821689852
Entity Type: Individual
Name: DR. Melissa Delarosa Moore, ED.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist - School
Credential: ED.D.
Enumeration Date: Feb 2, 2021
Last Updated: Feb 2, 2021

Practice Location

Address: 100 S BRAINARD AVE
City: La Grange
State: Illinois
ZIP Code: 60525-2100
Phone: (708) 579-6520

Specialties & Taxonomy Codes

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

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