Moore, Elizabeth L
Moore, Elizabeth L is an sole proprietor health care provider with primary practice located at 200 W Center St Ste C3 , Manchester CT 06040-4870. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Counseling. Behavioral Health & Social Service Providers / Counseling is her primary health care specialty. Moore, Elizabeth L can be contacted via phone (860) 880-1334.Contact Information
Primary practice address
200 W Center St Ste C3
Manchester CT 06040-4870
Phone: (860) 880-1334
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 002838 | Connecticut |
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 2668 | Wisconsin |
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 002838 | Connecticut |
Behavioral Health & Social Service Providers / Counseling | 103TC1900X | 002838 | Connecticut |
Profile Details
NPI number | 1689799231 |
---|---|
LBN Legal business name | Moore, Elizabeth L |
Credentials | PHD |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 20th, 2007 |
Last updated | Mar 28th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1689799231 | NPPES |
Connecticut | MEDICAID | 008028383 |
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