MEDICARE: CLIFFORD MOORE PSYD LLC

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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1427902352
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CLIFFORD MOORE PSYD LLC

Provider Business Mailing Address
First Line	:	25 W SHORE RD
Second Line	:
City	:	DENVILLE
State	:	NJ
Zip	:	07834-1519
Country	:	US
Telephone Number	:	973-489-3814
Fax Number	:

Provider Business Practice Location Address
First Line	:	25 W SHORE RD
Second Line	:
City	:	DENVILLE
State	:	NJ
Zip	:	07834-1519
Country	:	US
Telephone Number	:	973-489-3814
Fax Number	:

Authorized Official
Title or Position	:	LICENSED PROFESSIONAL COUNSELOR
Name	:	DR. CLIFFORD MOORE
Credential	:	PSYD
Telephone Number	:	973-489-3814

Provider Enumeration Date	:	02/26/2026
Last Update Date	:	02/26/2026

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