Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DIANA MOORE, PHD
ActiveDR. DIANA MOORE, PHD is a Clinical Psychologist healthcare provider located in FORT THOMSPSON, South Dakota. NPI 1902203847 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · FORT THOMSPSON, SD
Registration Details
- NPI Number
- 1902203847
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 20, 2014 (11.703413477474 yrs)
- Last Updated
- Nov 2, 2016
- License
-
2506 (OR)
Practice Information
- Address
-
1323 BIA RD. 20FORT THOMSPSON, SD, 57339Browse SD providers · Browse ZIP 57339
- Phone
- 6052451525
- 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.