Burt Moore, Linda Karen
Burt Moore, Linda Karen is an sole proprietor health care provider with primary practice located at 4949 Franklin Ave , Waco TX 76710-6900. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Burt Moore, Linda Karen can be contacted via phone (254) 776-0400.Contact Information
Primary practice address
4949 Franklin Ave
Waco TX 76710-6900
Phone: (254) 776-0400
Fax: (254) 776-0637
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 24997 | Texas |
Profile Details
| NPI number | 1912997339 |
|---|---|
| LBN Legal business name | Burt Moore, Linda Karen |
| Credentials | ED.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 26th, 2005 |
| Last updated | Jan 27th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912997339 | NPPES |
| Texas | MEDICAID | 036135401 | |
| Texas | Other | 119784100 | |
| Texas | Other | 119210 |
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