Dr Geraldene E Moore, PH D - Psychologist in North Little Rock, AR

Dr Geraldene E Moore, PH D is a Psychologist based in North Little Rock, Arkansas. Dr Geraldene E Moore is licensed to practice in Arkansas (license number 869P) and her current practice location is 3805 Mccain Park Drive, Suite 116, North Little Rock, Arkansas. She can be reached at her office (for appointments etc.) via phone at (501) 758-9993.

NPI number for Dr Geraldene E Moore is 1063428365 and her current mailing address is 3805 Mccain Park Drive, Suite 116, North Little Rock, Arkansas. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1063428365.

Contact Information

Dr Geraldene E Moore, PH D
3805 Mccain Park Drive, Suite 116,
North Little Rock, AR 72116-7813
(501) 758-9993
(501) 758-5321



Healthcare Provider's Profile

Full NameDr Geraldene E Moore
GenderFemale
SpecialityPsychologist
Location3805 Mccain Park Drive, North Little Rock, Arkansas
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1063428365
  • Provider Enumeration Date: 07/31/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Dr Geraldene E Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063428365NPI-NPPES
56579OtherARBCBS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist 869P (Arkansas)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 Geraldene E 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 AddressPractice Location Address
Dr Geraldene E Moore, PH D
3805 Mccain Park Drive, Suite 116,
North Little Rock, AR 72116-7813

Ph: (501) 758-9993
Dr Geraldene E Moore, PH D
3805 Mccain Park Drive, Suite 116,
North Little Rock, AR 72116-7813

Ph: (501) 758-9993

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Psychologist in North Little Rock, AR

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