Moore, Linda Lorraine

Moore, Linda Lorraine is an individual health care provider with primary practice located at 7301 N 58Th Ave , Glendale AZ 85301-1893. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Moore, Linda Lorraine can be contacted via phone (623) 842-8148.

Contact Information

Primary practice address
7301 N 58Th Ave Glendale AZ 85301-1893
Fax: (623) 435-9404
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X Arizona

Profile Details

NPI number 1275675522
LBN Legal business name Moore, Linda Lorraine
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2007
Last updated Jul 26th, 2007 - about 19 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 1275675522 NPPES
Arizona MEDICAID 581050

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