Moore, Terry William

Moore, Terry William is an individual health care provider with primary practice located at 408 N Kendrick St , Flagstaff AZ 86001-1582. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Counseling. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Moore, Terry William can be contacted via phone (928) 774-6364.

Contact Information

Primary practice address
408 N Kendrick St Flagstaff AZ 86001-1582
Phone: (928) 774-6364
Fax: (928) 556-0504
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 33811 Wyoming
Behavioral Health & Social Service Providers / Counseling 103TC1900X 1098 Arizona
Behavioral Health & Social Service Providers / Counseling 103TC1900X 172 Wyoming

Profile Details

NPI number 1174586598
LBN Legal business name Moore, Terry William
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2006
Last updated Jul 9th, 2007 - about 18 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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