Moore, Ursula Susanne
Moore, Ursula Susanne is an individual health care provider with primary practice located at 703 Welch Rd Suite F6, Palo Alto CA 94304-1710. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Moore, Ursula Susanne can be contacted via phone (650) 494-9125.Contact Information
Primary practice address
703 Welch Rd Suite F6
Palo Alto CA 94304-1710
Phone: (650) 494-9125
Fax: (650) 494-9125
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Psychologist | 103T00000X | LS002545 | California |
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LS002545 | California |
Profile Details
NPI number | 1720074370 |
---|---|
LBN Legal business name | Moore, Ursula Susanne |
Credentials | Licensed Clinical Social Worker (LCSW) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 20th, 2005 |
Last updated | Jun 10th, 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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