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

DAMON MOORE

Active Sole Proprietor

Psychologist · GROSSE POINTE PARK, MI

Registration Details

NPI Number: 1144829037
Provider Type: Individual
Gender: Male
NPI Issued: Oct 21, 2020 (5.5024439678904 yrs)
Last Updated: Oct 21, 2020
Licenses: PP0000001037037 (MI)

6362009236 (MI)
Sole Proprietor: Yes

Practice Information

Address: 15450 E JEFFERSON AVE STE 180

GROSSE POINTE PARK, MI, 482302031
Browse MI providers · Browse ZIP 48230
Phone: 3134444393
Primary Specialty: Psychologist
103T00000X
Additional Specialty: Psychologist

Other Psychologist Providers in GROSSE POINTE PARK, MI

Name	Credential	NPI
ERIN FRANCES BEATO	MA, LLP, PC	1144247347
DANA M ALPERN	PH.D	1518008671
HARRY B HULL	MA LLP	1407111727

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.