Moore, Stephen
Moore, Stephen is an sole proprietor health care provider with primary practice located at 1404 W State Rd , Pleasant Grove UT 84062-5019. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Moore, Stephen can be contacted via phone (801) 520-3970.Contact Information
Primary practice address
1404 W State Rd
Pleasant Grove UT 84062-5019
Phone: (801) 520-3970
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 8005587-3501 | Utah |
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 8005587-3501 | Utah |
Profile Details
NPI number | 1396143749 |
---|---|
LBN Legal business name | Moore, Stephen |
Credentials | Licensed Clinical Social Worker (LCSW) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 17th, 2014 |
Last updated | Dec 17th, 2014 - about 11 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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