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Dr. Stephanie Diane Moore, PSYD
Clinical Psychologist in Waterford, Connecticut
NPI 1396874087

Stephanie Diane Moore is a Clinical Psychologist based in Old Saybrook, CT and is specialized in Clinical. Stephanie Diane Moore practices in Waterford, CT and has the professional credentials of PSYD. The NPI Number for Stephanie Diane Moore is 1396874087 and holds a License No. 001668 (Connecticut).

The current practice location address for Stephanie Diane Moore is 567 Vauxhall Street Extension, Waterford, CT and can be reached out via phone at 860-439-1980 and via fax at 860-388-4460.

Location: 567 Vauxhall Street Extension, Waterford, CT, 06475-0403
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396874087
Provider Name
Stephanie Diane Moore
Credential
PSYD
Provider Entity Type
Individual
Gender
Female
Address
567 Vauxhall Street Extension, Waterford, CT, 06475-0403
Phone Number
860-439-1980
Fax Number
860-388-4460
Provider Enumeration Date
03/05/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
060001668CT02 01 CT ANTHEM BLUE CROSS
institution
Provider Business Practice Location Address Details
Address
567 Vauxhall Street Extension
City
Waterford
State
Connecticut
Zip
06385
Phone Number
860-439-1980
Fax Number
860-388-4460
person
Provider Business Mailing Address Details
Address
567 Vauxhall Street Extension
City
Waterford
State
Connecticut
Zip
06385
Phone Number
860-439-1980
Fax Number
860-388-4460
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
001668 (Connecticut)
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
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