person
Dr. Mark Moore, PHD
Prescribing (Medical) Psychologist in Philadelphia, Pennsylvania
NPI 1669690905

Mark Moore is a Prescribing (Medical) Psychologist based in Philadelphia, PA and is specialized in Prescribing (Medical). Mark Moore practices in Philadelphia, PA and has the professional credentials of PHD. The NPI Number for Mark Moore is 1669690905 and holds a License No. PS015627 (Pennsylvania).

The current practice location address for Mark Moore is 230 W Washington Sq, Philadelphia, PA and can be reached out via phone at 215-829-6088 and via fax at 215-829-6104.

Location: 230 W Washington Sq, Philadelphia, PA, 19106-3500
person
Provider Profile Details
NPI Number
1669690905
Provider Name
Mark Moore
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
230 W Washington Sq, Philadelphia, PA, 19106-3500
Phone Number
215-829-6088
Fax Number
215-829-6104
Provider Enumeration Date
04/23/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
230 W Washington Sq
City
State
Zip
19106-3500
Phone Number
215-829-6088
Fax Number
215-829-6104
person
Provider Business Mailing Address Details
Address
230 W Washington Sq
City
State
Zip
19106-3500
Phone Number
215-829-6088
Fax Number
215-829-6104
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Prescribing (Medical)
Taxonomy
License No.
PS015627 (Pennsylvania)
Definition
A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended.
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