Moore, Mary C

Moore, Mary C is an sole proprietor health care provider with primary practice located at 203 S Main St , Providence RI 02903-2992. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Moore, Mary C can be contacted via phone (401) 273-4942.

Contact Information

Primary practice address
203 S Main St Providence RI 02903-2992
Phone: (401) 273-4942
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PS00371 Rhode Island

Profile Details

NPI number 1407844723
LBN Legal business name Moore, Mary C
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 11th, 2005
Last updated Nov 3rd, 2008 - about 17 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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