Moore, Damon

Moore, Damon is an sole proprietor health care provider with primary practice located at 15450 E Jefferson Ave Ste 180 , Grosse Pointe Park MI 48230-2031. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Moore, Damon can be contacted via phone (313) 444-4393.

Contact Information

Primary practice address
15450 E Jefferson Ave Ste 180 Grosse Pointe Park MI 48230-2031
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X PP0000001037037 Michigan
Behavioral Health & Social Service Providers / Psychologist 103T00000X 6362009236 Michigan

Profile Details

NPI number 1144829037
LBN Legal business name Moore, Damon
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 21st, 2020
Last updated Oct 21st, 2020 - about 5 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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