Dr Diana Moore, PHD in Fort Thomspson, SD - Psychologist

Dr Diana Moore, PHD is a Psychologist - Clinical based in Fort Thomspson, South Dakota. Dr Diana Moore is licensed to practice in Oregon (license number 2506) and her current practice location is 1323 Bia Rd. 20, Fort Thomspson, South Dakota. She can be reached at her office (for appointments etc.) via phone at (605) 245-1525.

NPI number for Dr Diana Moore is 1902203847 and her current mailing address is 1323 Bia Rd. 20, Fort Thomspson, South Dakota. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1902203847.

Contact Information

	Dr Diana Moore, PHD
	1323 Bia Rd. 20, Fort Thomspson, SD 57339
	(605) 245-1525
	Not Available

Healthcare Provider's Profile

Full Name	Dr Diana Moore
Gender	Female
Speciality	Psychologist - Clinical
Location	1323 Bia Rd. 20, Fort Thomspson, South Dakota
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1902203847
Provider Enumeration Date: 11/20/2014
Last Update Date: 11/02/2016

Medical Identifiers

Medical identifiers for Dr Diana Moore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902203847	NPI	-	NPPES
5549010	Medicaid	SD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	2506 (Oregon)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Diana Moore is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Diana Moore, PHD 1323 Bia Rd. 20, Fort Thomspson, SD 57339 Ph: (605) 245-1525	Dr Diana Moore, PHD 1323 Bia Rd. 20, Fort Thomspson, SD 57339 Ph: (605) 245-1525

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Dr Diana Moore, PHD - Psychologist in Fort Thomspson, SD