Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ELISE R MOORE, MA, LLP
Active Sole ProprietorELISE R MOORE, MA, LLP is a Psychologist healthcare provider located in BIG RAPIDS, Michigan. NPI 1578798542 is currently active in the NPPES registry. Verify at CMS.
Psychologist · BIG RAPIDS, MI
Registration Details
- NPI Number
- 1578798542
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 20, 2009 (17.242393247017 yrs)
- Last Updated
- Sep 12, 2022
- License
-
6301011828 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
128 N WARREN AVE STE BBIG RAPIDS, MI, 493073207Browse MI providers · Browse ZIP 49307
- Phone
- 1645806926
- Fax
- 6164588129
- Primary Specialty
-
Psychologist
103T00000X
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.