Myra Marie Moore, in Summersville, WV - Psychologist

Myra Marie Moore, is a Psychologist based in Summersville, West Virginia. Myra Marie Moore is licensed to practice in West Virginia (license number 22070) and her current practice location is 402 Church St Ste 2, Summersville, West Virginia. She can be reached at her office (for appointments etc.) via phone at (304) 256-4555.

NPI number for Myra Marie Moore is 1154673184 and her current mailing address is Po Box 211, Mount Nebo, West Virginia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1154673184.

Contact Information

	Myra Marie Moore,
	402 Church St Ste 2, Summersville, WV 26651-1495
	(304) 256-4555
	(304) 256-4715

Healthcare Provider's Profile

Full Name	Myra Marie Moore
Gender	Female
Speciality	Psychologist
Location	402 Church St Ste 2, Summersville, West Virginia
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1154673184
Provider Enumeration Date: 10/15/2012
Last Update Date: 08/15/2023

Medical Identifiers

Medical identifiers for Myra Marie Moore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154673184	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TS0200X	Psychologist - School	22070 (West Virginia)	Secondary
103T00000X	Psychologist	22070 (West Virginia)	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. Myra Marie 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
Myra Marie Moore, Po Box 211, Mount Nebo, WV 26679-0211 Ph: (304) 719-9701	Myra Marie Moore, 402 Church St Ste 2, Summersville, WV 26651-1495 Ph: (304) 256-4555

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Psychologist in Summersville, WV

Annette Marino Zavareei, ED. D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 404 Old Main Dr, Summersville, WV 26651 Phone: 304-872-3611
Marcie L Vaughan, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 131 Wellness Dr, Summersville, WV 26651 Phone: 304-872-6503 Fax: 304-872-5541
Mr. Larry Jackson Legg, M.A. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 702 Professional Park Dr, Ste 106, Summersville, WV 26651 Phone: 304-883-2380 Fax: 304-883-2383
William D Hagerty, Psychologist Medicare: Not Enrolled in Medicare Practice Location: #1 Stevens Rd, Seneca Health Services Inc, Summersville, WV 26651 Phone: 304-872-2659 Fax: 304-872-1685
Mrs. Stephanie Kelly Ford, DEL,MA.,LIC. PSYCH. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1305 Webster Rd, Summersville, WV 26651 Phone: 304-872-6503 Fax: 304-872-5415
April D Clendenin, SCHOOL PSYCHOLOGIST Psychologist Medicare: Not Enrolled in Medicare Practice Location: 400 Old Main Dr, Summersville, WV 26651 Phone: 304-872-3611 Fax: 304-872-4626

Myra Marie Moore, - Psychologist in Summersville, WV