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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. GENNEA NICKOLE MOORE, LLP

Active Sole Proprietor

MS. GENNEA NICKOLE MOORE, LLP is a Psychologist healthcare provider located in ROSEVILLE, Michigan. NPI 1043458516 is currently active in the NPPES registry. Verify at CMS.

Psychologist · ROSEVILLE, MI

Registration Details

NPI Number
1043458516
Provider Type
Individual
Gender
Female
NPI Issued
Jan 21, 2009 (17.595048722423 yrs)
Last Updated
Aug 9, 2022
Licenses
6301013299 (MI)
6301013299 (MI)
6351000450 (MI)
Sole Proprietor
Yes

Practice Information

Address
18303 E 10 MILE RD
ROSEVILLE, MI, 480664988
Browse MI providers · Browse ZIP 48066
Phone
2484699519
Primary Specialty
Psychologist
103T00000X
Additional Specialty
Clinical Psychologist
Additional Specialty
Psychologist

Other Psychologist Providers in ROSEVILLE, MI

Name Credential NPI
TAMARA S HAGAR MA, LLP, LMFT, CAADC 1467577569
MS. THEA SIMMONS PSYS, LLP 1669895256
JILLIAN ELIZABETH GRABOWSKI 1679099204
BROOK BERNREUTER 1538658083
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.