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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KATHLEEN M MOORE, PSY.D

Active Sole Proprietor

KATHLEEN M MOORE, PSY.D is a Psychologist healthcare provider located in SANDPOINT, Idaho. NPI 1720559248 is currently active in the NPPES registry. Verify at CMS.

Psychologist · SANDPOINT, ID

Registration Details

NPI Number
1720559248
Provider Type
Individual
Gender
Female
NPI Issued
Dec 10, 2018 (7.6504685535244 yrs)
Last Updated
Dec 10, 2018
Licenses
PSY-14596 (CA)
PSY-203097 (ID)
Sole Proprietor
Yes

Practice Information

Address
918 CATTAIL CT
SANDPOINT, ID, 838645094
Browse ID providers · Browse ZIP 83864
Phone
2089201750
Primary Specialty
Psychologist
103T00000X
Additional Specialty
Psychologist

Other Psychologist Providers in SANDPOINT, ID

Name Credential NPI
DR. STEPHEN M MATHIS PSY.D., A.A.P.T.A. 1982700217
MEGAN ELISE FOX PHD 1811776859
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.