Melvin Medero Moore Jr., PH.D.

Clinical Psychologist · Carson, CA

Individual Active NPI

NPI number 1659495240

Practice location

17649 Crabapple Way
Carson, CA 90746-7461
Phone
(310) 632-9168
Fax
(310) 342-3955

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NPI record

NPI
1659495240
Entity type
Individual (Type 1)
Enumeration date
March 19, 2007
Last updated
April 5, 2013
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Clinical Psychologist Primary 103TC0700X PSY11086 CA

About Dr. Moore

Melvin Medero Moore Jr., PH.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Clinical Psychologist (code 103TC0700X). The practice location is 17649 Crabapple Way, Carson, CA 90746-7461. The NPI number 1659495240 was assigned on March 19, 2007 and the record was last updated on April 5, 2013.

Dr. Moore lists a license in the registry: #PSY11086 (CA) for Clinical Psychologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Melvin Medero Moore Jr., PH.D.?

The NPI number is 1659495240.

What is the phone number of Dr. Moore?

The phone number listed for the practice location is (310) 632-9168.

Where is Dr. Moore located?

17649 Crabapple Way, Carson, CA 90746-7461.

What is the taxonomy code for Dr. Moore?

The primary taxonomy code is 103TC0700X – Clinical Psychologist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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