Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARTHA CAROLE MOORE, PH.D.
Active Sole ProprietorDR. MARTHA CAROLE MOORE, PH.D. is a Clinical Psychologist healthcare provider located in NORTH FORK, California. NPI 1336343144 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · NORTH FORK, CA
Registration Details
- NPI Number
- 1336343144
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 14, 2007 (19.15114690249 yrs)
- Last Updated
- Jun 20, 2022
- License
-
PSY19380 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
34930 ROAD 223NORTH FORK, CA, 936439647Browse CA providers · Browse ZIP 93643
- Phone
- 5597606154
- Fax
- 5598774009
- Primary Specialty
-
Clinical Psychologist
103TC0700X
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.