Dr Stan Robert Moore, PHD - Psychologist in Solana Beach, CA

Dr Stan Robert Moore, PHD is a Psychologist - Clinical based in Solana Beach, California. Dr Stan Robert Moore is licensed to practice in California (license number PSY14910) and his current practice location is 530 Lomas Santa Fe Dr, Suite M, Solana Beach, California. He can be reached at his office (for appointments etc.) via phone at (619) 464-1165.

NPI number for Dr Stan Robert Moore is 1356677108 and his current mailing address is Po Box 549, Poway, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1356677108.

Contact Information

Dr Stan Robert Moore, PHD
530 Lomas Santa Fe Dr, Suite M,
Solana Beach, CA 92075-1349
(619) 464-1165
(619) 464-1157



Healthcare Provider's Profile

Full NameDr Stan Robert Moore
GenderMale
SpecialityPsychologist - Clinical
Location530 Lomas Santa Fe Dr, Solana Beach, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1356677108
  • Provider Enumeration Date: 10/29/2009
  • Last Update Date: 10/29/2009

Medical Identifiers

Medical identifiers for Dr Stan Robert Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356677108NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical PSY14910 (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 Stan Robert 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 Stan Robert Moore, PHD
Po Box 549,
Poway, CA 92074-0549

Ph: (619) 464-1165
Dr Stan Robert Moore, PHD
530 Lomas Santa Fe Dr, Suite M,
Solana Beach, CA 92075-1349

Ph: (619) 464-1165

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Psychologist in Solana Beach, CA

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Phone: 650-930-0170    

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