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Dr. Samuel Moreno, PHD
Clinical Psychologist in Moline, Illinois
NPI 1568455236

Samuel Moreno is a Clinical Psychologist based in Moline, IL and is specialized in Clinical. Samuel Moreno practices in Moline, IL and has the professional credentials of PHD. The NPI Number for Samuel Moreno is 1568455236 and holds a License No. (Illinois).

The current practice location address for Samuel Moreno is 4600 3Rd St, Moline, IL and can be reached out via phone at 309-779-7552.

Location: 4600 3Rd St, Moline, IL, 61265-6106
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568455236
Provider Name
Samuel Moreno
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
4600 3Rd St, Moline, IL, 61265-6106
Phone Number
309-779-7552
Fax Number
Provider Enumeration Date
08/26/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
71003237 01 IL BLUE CROSS ILLINOIS
IL01A6 01 IL JOHN DEERE NUMBER
institution
Provider Business Practice Location Address Details
Address
4600 3Rd St
City
Moline
State
Illinois
Zip
61265-6106
Phone Number
309-779-7552
Fax Number
person
Provider Business Mailing Address Details
Address
4600 3Rd St
City
Moline
State
Illinois
Zip
61265-6106
Phone Number
309-779-7552
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
(Illinois)
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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