Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JUSTIN ANTHONY MOORE
ActiveJUSTIN ANTHONY MOORE is a Psychologist healthcare provider located in NORTHFIELD, Illinois. NPI 1487005393 is currently active in the NPPES registry. Verify at CMS.
Psychologist · NORTHFIELD, IL
Registration Details
- NPI Number
- 1487005393
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 22, 2016 (10.137354408515 yrs)
- Last Updated
- Dec 1, 2023
- License
-
3606-57 (WI)
Practice Information
- Address
-
400 CENTRAL AVE STE 220NORTHFIELD, IL, 600933024Browse IL providers · Browse ZIP 60093
- Phone
- 8479969994
- Primary Specialty
-
Psychologist
103T00000X
Other Psychologist Providers in NORTHFIELD, IL
| Name | Credential | NPI |
|---|---|---|
| DR. SHAWN DAUGHERTY | PSY.D. | 1154635712 |
| DR. PAUL LOSOFF | PSY.D. | 1598163008 |
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.