MEDICARE: DR. EMILY CATHERINE MOORE PHD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist	PSY34783	CA

General Provider Information

NPI Number	:	1891565479
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EMILY CATHERINE MOORE PHD

Provider Business Mailing Address
First Line	:	3790 EL CAMINO REAL UNIT 823
Second Line	:
City	:	PALO ALTO
State	:	CA
Zip	:	94306-3314
Country	:	US
Telephone Number	:	650-454-7094
Fax Number	:

Provider Business Practice Location Address
First Line	:	3790 EL CAMINO REAL UNIT 823
Second Line	:
City	:	PALO ALTO
State	:	CA
Zip	:	94306-3314
Country	:	US
Telephone Number	:	650-454-7094
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/04/2024
Last Update Date	:	01/06/2026

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