Moore, Doris Louise

Moore, Doris Louise is an individual health care provider with primary practice located at 25 Allen Street , Martinez CA 94553-1513. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Moore, Doris Louise can be contacted via phone (925) 313-7900.

Contact Information

Primary practice address
25 Allen Street Martinez CA 94553-1513
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 29143 California

Profile Details

NPI number 1184762486
LBN Legal business name Moore, Doris Louise
Credentials PHD, MSW, RAS
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2007
Last updated May 7th, 2015 - about 10 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 1184762486 NPPES
California MEDICAID 1184762486

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