Moore, Jeanne Lynn
Moore, Jeanne Lynn is an sole proprietor health care provider with primary practice located at 30131 Town Center Dr Suite 235 , Laguna Niguel CA 92677-2033. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Moore, Jeanne Lynn can be contacted via phone (949) 433-9546.Contact Information
Primary practice address
30131 Town Center Dr Suite 235
Laguna Niguel CA 92677-2033
Phone: (949) 433-9546
Fax: (949) 215-8408
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PSY17812 | California |
Profile Details
| NPI number | 1689762346 |
|---|---|
| LBN Legal business name | Moore, Jeanne Lynn |
| Credentials | PSYD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 10th, 2006 |
| Last updated | Feb 16th, 2023 - about last year |
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 | 1689762346 | NPPES |
| California | MEDICAID | FW675A |
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