Moore, Stephanie

Moore, Stephanie is an sole proprietor health care provider with primary practice located at 801 N Tustin Ave #603, Santa Ana CA 92705-3612. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as her primary health care specialty. Moore, Stephanie can be contacted via phone (714) 731-6231.

Contact Information

Primary practice address
801 N Tustin Ave #603 Santa Ana CA 92705-3612
Phone: (714) 731-6231
Fax: (714) 731-6283
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X PSY14222 California

Profile Details

NPI number 1225032865
LBN Legal business name Moore, Stephanie
Credentials PSYD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 10th, 2005
Last updated May 12th, 2010 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1225032865 NPPES
California Other PSY14222 LICENSE

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