Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK DANIEL MOORE, MA SCHOOL PSYCHOLOGY
Active Sole ProprietorMARK DANIEL MOORE, MA SCHOOL PSYCHOLOGY is a School Psychologist healthcare provider located in CRESCENT CITY, Illinois. NPI 1073031019 is currently active in the NPPES registry. Verify at CMS.
School Psychologist · CRESCENT CITY, IL
Registration Details
- NPI Number
- 1073031019
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 30, 2017 (8.9959261361412 yrs)
- Last Updated
- Jul 21, 2022
- License
-
1986210 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
100 MINER STCRESCENT CITY, IL, 609288092Browse IL providers · Browse ZIP 60928
- Phone
- 8156832662
- Primary Specialty
-
School Psychologist
103TS0200X
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.