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NPI Code Detail

MEDICARE: DR. LINDA LEE MOORE ED.D

MEDICARE:  DR. LINDA LEE MOORE  ED.D
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
1103T00000XPsychologist00518MO

General Provider Information

NPI Number : 1629182589
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LINDA LEE MOORE ED.D
Provider Business Mailing Address
First Line : 6011 CENTRAL ST
Second Line :
City : KANSAS CITY
State : MO
Zip : 64113-1409
Country : US
Telephone Number : 816-444-2242
Fax Number : 816-444-8630
Provider Business Practice Location Address
First Line : 6011 CENTRAL ST
Second Line :
City : KANSAS CITY
State : MO
Zip : 64113-1409
Country : US
Telephone Number : 816-444-2242
Fax Number : 816-444-8630
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/18/2006
Last Update Date : 07/08/2007

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Directions to “ DR. LINDA LEE MOORE ED.D” Practice Location

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