Moore, Renee Y

Moore, Renee Y is an sole proprietor health care provider with primary practice located at 2 Riverchase Office Plz Ste 115 , Hoover AL 35244-2810. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Moore, Renee Y can be contacted via phone (205) 403-0955.

Contact Information

Primary practice address
2 Riverchase Office Plz Ste 115 Hoover AL 35244-2810
Phone: (205) 403-0955
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X LC1968 Maryland
Behavioral Health & Social Service Providers / Psychologist 103T00000X 1785 Alabama
Behavioral Health & Social Service Providers / Psychologist 103T00000X 04789 Maryland
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY1000811 District of Columbia

Profile Details

NPI number 1215050448
LBN Legal business name Moore, Renee Y
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 10th, 2007
Last updated Feb 28th, 2017 - about 8 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 1215050448 NPPES
Maryland MEDICAID 410230400
Maryland Other 614S

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