Moore, Daniel

Moore, Daniel is an individual health care provider with primary practice located at 103 S 19Th Ave , Hattiesburg MS 39401-6171. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Moore, Daniel can be contacted via phone (601) 544-4641.

Contact Information

Primary practice address
103 S 19Th Ave Hattiesburg MS 39401-6171
Phone: (601) 544-4641
Fax: (601) 584-4053
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 33-545 Mississippi

Profile Details

NPI number 1861400244
LBN Legal business name Moore, Daniel
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2006
Last updated Jul 8th, 2007 - about 17 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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