Moore, C L

Moore, C L is an individual health care provider with primary practice located at 2440 North Charles St Ste 236, N St Paul MN 55109. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Moore, C L can be contacted via phone (651) 771-4766.

Contact Information

Primary practice address
2440 North Charles St Ste 236 N St Paul MN 55109
Phone: (651) 771-4766
Fax: (651) 771-4784
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X LP2246 Minnesota
Behavioral Health & Social Service Providers / Psychologist 103T00000X PY00000625 Washington
Behavioral Health & Social Service Providers / Psychologist 103T00000X 440 Colorado
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 1 Minnesota

Profile Details

NPI number 1982737011
LBN Legal business name Moore, C L
Credentials PHD LP LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2007
Last updated Jul 8th, 2007 - about 18 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 1982737011 NPPES
Minnesota Other 104097 U CARE
Minnesota Other 39036800 U CARE
Minnesota Other 212T8PE U CARE
Minnesota Other 6049644 U CARE
Minnesota Other HP19293 U CARE

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