Moor, Tarryn

Moor, Tarryn is an individual health care provider with primary practice located at 310 E Shore Rd Ste 100 , Great Neck NY 11023-2432. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Moor, Tarryn can be contacted via phone (515) 466-7077.

Contact Information

Primary practice address
310 E Shore Rd Ste 100 Great Neck NY 11023-2432
Phone: (515) 466-7077
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 1372 New Mexico
Behavioral Health & Social Service Providers / Clinical 103TC0700X 021200 New York

Profile Details

NPI number 1467849455
LBN Legal business name Moor, Tarryn
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2015
Last updated Apr 14th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467849455 NPPES
New Mexico MEDICAID 92600824

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