Moore, Jillian Leigh
Moore, Jillian Leigh is an sole proprietor health care provider with primary practice located at 145 Hodencamp Rd Ste 100 , Thousand Oaks CA 91360. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Moore, Jillian Leigh can be contacted via phone (805) 449-3545.Contact Information
Primary practice address
145 Hodencamp Rd Ste 100
Thousand Oaks CA 91360
Phone: (805) 449-3545
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | PSY29908 | California |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY29908 | California |
Profile Details
| NPI number | 1245588987 |
|---|---|
| LBN Legal business name | Moore, Jillian Leigh |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 28th, 2012 |
| Last updated | May 21st, 2020 - about 4 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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