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Susanna Mckean Moore, PHD
Clinical Psychologist in Oakland, California
NPI 1932245776

Susanna Mckean Moore is a Clinical Psychologist based in Oakland, CA and is specialized in Clinical. Susanna Mckean Moore practices in Oakland, CA and has the professional credentials of PHD. The NPI Number for Susanna Mckean Moore is 1932245776 and holds a License No. PSY20756 (California).

The current practice location address for Susanna Mckean Moore is 1501 Fruitvale Ave, Oakland, CA and can be reached out via phone at 510-535-6200 and via fax at 510-535-4167.

Location: 1501 Fruitvale Ave, Oakland, CA, 94601-2322
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932245776
Provider Name
Susanna Mckean Moore
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
1501 Fruitvale Ave, Oakland, CA, 94601-2322
Phone Number
510-535-6200
Fax Number
510-535-4167
Provider Enumeration Date
01/29/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
05-1063 01 CA MEDICARE PART A
ZZZ29799Z 01 CA MEDICARE PART B
institution
Provider Business Practice Location Address Details
Address
1501 Fruitvale Ave
City
Oakland
State
California
Zip
94601-2322
Phone Number
510-535-6200
Fax Number
510-535-4167
person
Provider Business Mailing Address Details
Address
1501 Fruitvale Ave
City
Oakland
State
California
Zip
94601-2322
Phone Number
510-535-6200
Fax Number
510-535-4167
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
PSY20756 (California)
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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