Ms Tracie Moore, PHD in Twain Harte, CA - Psychologist

Ms Tracie Moore, PHD is a Psychologist - Clinical based in Twain Harte, California. Ms Tracie Moore is licensed to practice in California (license number 12107) and her current practice location is 22569 Middle Camp Rd, Twain Harte, California. She can be reached at her office (for appointments etc.) via phone at (209) 586-3707.

NPI number for Ms Tracie Moore is 1710139720 and her current mailing address is 22569 Middle Camp Rd, Twain Harte, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1710139720.

Contact Information

	Ms Tracie Moore, PHD
	22569 Middle Camp Rd, Twain Harte, CA 95383-9681
	(209) 586-3707
	(209) 586-3707

Healthcare Provider's Profile

Full Name	Ms Tracie Moore
Gender	Female
Speciality	Psychologist - Clinical
Location	22569 Middle Camp Rd, Twain Harte, California
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1710139720
Provider Enumeration Date: 10/21/2008
Last Update Date: 10/21/2008

Medical Identifiers

Medical identifiers for Ms Tracie Moore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710139720	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	12107 (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. Ms Tracie 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
Ms Tracie Moore, PHD 22569 Middle Camp Rd, Twain Harte, CA 95383-9681 Ph: (209) 586-3707	Ms Tracie Moore, PHD 22569 Middle Camp Rd, Twain Harte, CA 95383-9681 Ph: (209) 586-3707

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Ms Tracie Moore, PHD - Psychologist in Twain Harte, CA