Moore, Michelle Bacon
Moore, Michelle Bacon is an sole proprietor health care provider with primary practice located at 3450 Chestnut St 3Rd Floor, New Orleans LA 70115-2443. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as her primary health care specialty. Moore, Michelle Bacon can be contacted via phone (504) 412-1580.Contact Information
Primary practice address
3450 Chestnut St 3Rd Floor
New Orleans LA 70115-2443
Phone: (504) 412-1580
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X |
Profile Details
| NPI number | 1336394097 |
|---|---|
| LBN Legal business name | Moore, Michelle Bacon |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 22nd, 2008 |
| Last updated | Nov 11th, 2010 - about 15 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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