Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACKIE RENA MOORE, BHRS
Active Sole ProprietorJACKIE RENA MOORE, BHRS is a Rehabilitation Psychologist healthcare provider located in SPENCER, Oklahoma. NPI 1750632782 is currently active in the NPPES registry. Verify at CMS.
Rehabilitation Psychologist · SPENCER, OK
Registration Details
- NPI Number
- 1750632782
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 1, 2012 (13.897802771731 yrs)
- Last Updated
- Oct 1, 2012
- Sole Proprietor
- Yes
Practice Information
- Address
-
5721 OAKWOOD STSPENCER, OK, 730848638Browse OK providers · Browse ZIP 73084
- Phone
- 4054138416
- Primary Specialty
-
Rehabilitation Psychologist
103TR0400X
Other Rehabilitation Psychologist Providers in SPENCER, OK
| Name | Credential | NPI |
|---|---|---|
| MRS. TIFFANY CLEVETTE BLACK | — | 1750673216 |
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.