Dr Mary E Moore, PHD in San Bernandino, CA - Psychologist

Dr Mary E Moore, PHD is a Psychologist based in San Bernandino, California. Dr Mary E Moore is licensed to practice in California (license number PSY10159) and her current practice location is 325 W Hospitality Lane, Suite 310, San Bernandino, California. She can be reached at her office (for appointments etc.) via phone at (909) 386-5500.

NPI number for Dr Mary E Moore is 1871799957 and her current mailing address is 325 W Hospitality Lane, Suite 310, San Bernandino, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1871799957.

Contact Information

	Dr Mary E Moore, PHD
	325 W Hospitality Lane, Suite 310, San Bernandino, CA 92408-3212
	(909) 386-5500
	(909) 386-5520

Healthcare Provider's Profile

Full Name	Dr Mary E Moore
Gender	Female
Speciality	Psychologist
Location	325 W Hospitality Lane, San Bernandino, California
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1871799957
Provider Enumeration Date: 06/25/2007
Last Update Date: 07/08/2007

Medical Identifiers

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

Identifier	Type	State	Issuer
1871799957	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	PSY10159 (California)	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 Mary 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 Address	Practice Location Address
Dr Mary E Moore, PHD 325 W Hospitality Lane, Suite 310, San Bernandino, CA 92408-3212 Ph: (909) 386-5500	Dr Mary E Moore, PHD 325 W Hospitality Lane, Suite 310, San Bernandino, CA 92408-3212 Ph: (909) 386-5500

News Archive

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Dr Mary E Moore, PHD - Psychologist in San Bernandino, CA