Moorer, Kayla D

Moorer, Kayla D is an individual health care provider with primary practice located at 1330 Page Dr S Ste 102A , Fargo ND 58103-3562. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Health Service. Behavioral Health & Social Service Providers / Counseling is her primary health care specialty. Moorer, Kayla D can be contacted via phone (701) 478-6604.

Contact Information

Primary practice address
1330 Page Dr S Ste 102A Fargo ND 58103-3562
Phone: (701) 478-6604
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X 2949 Oregon
Behavioral Health & Social Service Providers / Health Service 103TH0100X 2949 Oregon
Behavioral Health & Social Service Providers / Counseling 103TC1900X 564 North Dakota

Profile Details

NPI number 1992201917
LBN Legal business name Moorer, Kayla D
Credentials PHD, LP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2018
Last updated Apr 11th, 2019 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1992201917 NPPES
North Dakota MEDICAID 1476477

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