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:
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Health care specialties

SpecialtyCodeLicense #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 5 months 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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