Moore, Katie

Moore, Katie is an individual health care provider with primary practice located at 6402 Odana Rd Ste 201 , Madison WI 53719-1123. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Moore, Katie can be contacted via phone (608) 609-3555.

Contact Information

Primary practice address
6402 Odana Rd Ste 201 Madison WI 53719-1123
Phone: (608) 609-3555
Fax: (608) 620-0109
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 3623-57 Wisconsin
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 3623 Wisconsin
Behavioral Health & Social Service Providers / Psychologist 103T00000X

Profile Details

NPI number 1851876312
LBN Legal business name Moore, Katie
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 1st, 2018
Last updated Jul 14th, 2023 - about 2 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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