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Dr. Marlin Kem Moore, PHD
Clinical Psychologist in Shreveport, Louisiana
NPI 1467430207

Marlin Kem Moore is a Clinical Psychologist based in Abilene, LA and is specialized in Clinical. Marlin Kem Moore practices in Shreveport, LA and has the professional credentials of PHD. The NPI Number for Marlin Kem Moore is 1467430207 and holds a License No. 4810 (Louisiana).

The current practice location address for Marlin Kem Moore is 510 E Stoner Ave, Shreveport, LA and can be reached out via phone at 318-990-4647.

Location: 510 E Stoner Ave, Shreveport, LA, 79604-0042
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1467430207
Provider Name
Marlin Kem Moore
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
510 E Stoner Ave, Shreveport, LA, 79604-0042
Phone Number
318-990-4647
Fax Number
Provider Enumeration Date
01/03/2006
Last Update Date
02/15/2025
institution
Provider Business Practice Location Address Details
Address
510 E Stoner Ave
City
Shreveport
State
Louisiana
Zip
71101-4243
Phone Number
318-990-4647
Fax Number
person
Provider Business Mailing Address Details
Address
510 E Stoner Ave
City
Shreveport
State
Louisiana
Zip
71101-4243
Phone Number
318-990-4647
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
24810 (Texas)
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.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Health Service
Taxonomy
103TH0100X
License No.
4810 (Texas)
Definition
A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
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