Moore, Leyonita
Moore, Leyonita is an sole proprietor health care provider with primary practice located at 333 E Campus Mall 7Th Flr , Madison WI 53715. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Moore, Leyonita can be contacted via phone (608) 265-5600.Contact Information
Primary practice address
333 E Campus Mall 7Th Flr
Madison WI 53715
Phone: (608) 265-5600
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X | 021049-1 | New York |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 021049-1 | New York |
Profile Details
| NPI number | 1093222010 |
|---|---|
| LBN Legal business name | Moore, Leyonita |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 29th, 2017 |
| Last updated | Sep 29th, 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 | 1093222010 | NPPES |
| Wisconsin | Other | 3920 | LICENSE |
| Wisconsin | Other | 56974 | LICENSE |
| Wisconsin | Other | 021049 | LICENSE |
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