NPI 1396874087

Stephanie Diane Moore, PSYD

Practitioner Clinical Psychologist Waterford, CT

Practice location

Address: 567 Vauxhall Street Extension #107, Waterford, CT 06385
Phone: (860) 439-1980
Fax: (860) 388-4460
Mailing address: PO Box 403, Old Saybrook, CT 06475-0403

Registered specialties

Clinical Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 001668 (CT)

Other Psychologist providers in Connecticut →

Registry record

NPI: 1396874087
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Mar 2007
Record last updated: 20 Jun 2012

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.