MICHELLE MOORE, PHD, LLC

LUTZ, FL
NPI1659606705
Doing Business AsMOORE BEHAVIORAL HEALTH
Entity TypeOrganization
Authorized ContactMICHELLE RENEE WIDOWS
Clinical Psychologist
303-345-3728
Organization Subpart ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: FL  PY6699)
Additional Taxonomies103T00000X Psychologist
(Licence: CO  3155)
103TC0700X Psychologist, Clinical
(Licence: CO  3155)
103TH0004X Psychologist, Health
(Licence: CO  3155)
Enumeration Date2009-10-07
Last Update Date2012-06-14
Business Address
MICHELLE MOORE, PHD, LLC
1710 BEARBERRY CIR APT 101
LUTZ, FL 33559-8781
Phone number: 303-345-3728
Mailing Address
MICHELLE MOORE, PHD, LLC
1710 BEARBERRY CIR APT 101
LUTZ, FL 33559-8781
Phone number: 303-345-3728