Moore, Tyra N
Moore, Tyra N is an individual health care provider with primary practice located at 1305 Cumberland Ave Ste 205 , West Lafayette IN 47906-1348. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Moore, Tyra N can be contacted via phone (765) 429-2765.Contact Information
Primary practice address
1305 Cumberland Ave Ste 205
West Lafayette IN 47906-1348
Phone: (765) 429-2765
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 34007393A | Indiana |
Profile Details
| NPI number | 1265627483 |
|---|---|
| LBN Legal business name | Moore, Tyra N |
| Credentials | LMSW, LCSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 11th, 2007 |
| Last updated | Mar 22nd, 2024 - about last year |
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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