Moore, Tiffany Annette
Moore, Tiffany Annette is an individual health care provider with primary practice located at 5 W Pearce Blvd , Wentzville MO 63385-1415. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Moore, Tiffany Annette can be contacted via phone (636) 344-6572.Contact Information
Primary practice address
5 W Pearce Blvd
Wentzville MO 63385-1415
Phone: (636) 344-6572
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 2003019174 | Missouri |
Profile Details
| NPI number | 1366456048 |
|---|---|
| LBN Legal business name | Moore, Tiffany Annette |
| Credentials | Master of Arts (MA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 28th, 2006 |
| Last updated | Aug 17th, 2020 - about 4 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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