Moore, Renee Y
Moore, Renee Y is an sole proprietor health care provider with primary practice located at 2 Riverchase Office Plz Ste 115 , Hoover AL 35244-2810. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Moore, Renee Y can be contacted via phone (205) 403-0955.Contact Information
Primary practice address
2 Riverchase Office Plz Ste 115
Hoover AL 35244-2810
Phone: (205) 403-0955
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LC1968 | Maryland |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 1785 | Alabama |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 04789 | Maryland |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PSY1000811 | District of Columbia |
Profile Details
| NPI number | 1215050448 |
|---|---|
| LBN Legal business name | Moore, Renee Y |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 10th, 2007 |
| Last updated | Feb 28th, 2017 - about 7 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 | 1215050448 | NPPES |
| Maryland | MEDICAID | 410230400 | |
| Maryland | Other | 614S |
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