NPI 1053429837

Sue V Moore, MSLPC

Practitioner Psychologist Augusta, GA

Practice location

Address: 448 Telfair St, Augusta, GA 30901-5811
Phone: (706) 722-7788
Fax: (706) 724-8300

Registered specialties

Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103T00000X Licence LPC 1326 (GA)

Other Psychologist providers in Georgia →

Registry record

NPI: 1053429837
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Aug 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.