Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. STEPHEN MOORE, LPC
Active Sole ProprietorMR. STEPHEN MOORE, LPC is a Community/Behavioral Health healthcare provider located in MIDDLETOWN, Connecticut. NPI 1306223169 is currently active in the NPPES registry. Verify at CMS.
Community/Behavioral Health · MIDDLETOWN, CT
Registration Details
- NPI Number
- 1306223169
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 30, 2015 (11.317763327136 yrs)
- Last Updated
- Apr 30, 2015
- License
-
1070 (CT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
100 ROSCOMMON DRMIDDLETOWN, CT, 064571591Browse CT providers · Browse ZIP 06457
- Phone
- 8603435500
- Fax
- 8603435509
- Primary Specialty
-
Community/Behavioral Health
251S00000X
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.