STEPHANIE DIANE MOORE

WATERFORD, CT
NPI1396874087
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: CT  001668)
Enumeration Date2007-03-05
Last Update Date2012-06-20
Business Address
Dr. STEPHANIE DIANE MOORE Psy.D.
567 VAUXHALL STREET EXTENSION #107
WATERFORD, CT 06385
Phone number: 860-439-1980
Mailing Address
Dr. STEPHANIE DIANE MOORE Psy.D.
PO BOX 403
OLD SAYBROOK, CT 06475-0403
Phone number: 860-536-1536
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