Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. TRACIE MOORE, PH.D.
Active Sole ProprietorMS. TRACIE MOORE, PH.D. is a Clinical Psychologist healthcare provider located in TWAIN HARTE, California. NPI 1710139720 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · TWAIN HARTE, CA
Registration Details
- NPI Number
- 1710139720
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 21, 2008 (17.808523376741 yrs)
- Last Updated
- Oct 21, 2008
- License
-
12107 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
22569 MIDDLE CAMP RDTWAIN HARTE, CA, 953839681Browse CA providers · Browse ZIP 95383
- Phone
- 2095863707
- Fax
- 2095863707
- 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.