Moore, Lawrence Harold
Moore, Lawrence Harold is an individual health care provider with primary practice located at 2009 F Street , Vancouver WA 98663-3345. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as his primary health care specialty. Moore, Lawrence Harold can be contacted via phone (360) 693-3715.Contact Information
Primary practice address
2009 F Street
Vancouver WA 98663-3345
Phone: (360) 693-3715
Fax: (360) 737-8269
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | 2014 | Washington |
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | 1515 | Oregon |
Profile Details
| NPI number | 1215143821 |
|---|---|
| LBN Legal business name | Moore, Lawrence Harold |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 14th, 2007 |
| Last updated | Jan 21st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215143821 | NPPES |
| Washington | Other | 169713 | DEPT OF LABOR & INDUSTRIE |
| Washington | MEDICAID | 7078918 | DEPT OF LABOR & INDUSTRIE |
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