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
Phone: (313) 444-4393
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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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