Moore, Brian Leopold

Moore, Brian Leopold is an sole proprietor health care provider with primary practice located at 7621 Canoga Ave , Canoga Park CA 91304-4912. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Moore, Brian Leopold can be contacted via phone (818) 642-1269.

Contact Information

Primary practice address
7621 Canoga Ave Canoga Park CA 91304-4912
Phone: (818) 642-1269
Fax: (818) 598-6937
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY13499 California

Profile Details

NPI number 1518042753
LBN Legal business name Moore, Brian Leopold
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 26th, 2006
Last updated Oct 4th, 2012 - about 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518042753 NPPES
Other GD050Z PTAN
Other GD050Y PTAN

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