Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Everrett Moore, PHD

Individual provider Psychologist · NPI 1740072305

Dr. Everrett Moore, PHD is a Psychologist in Southlake, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2025
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

1130 N Kimball Ave Ste 120
Southlake, TX 76092-4745
Phone: (940) 278-8664
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 40164 (TX)

Record details

NPI number1740072305
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedMay 20, 2025
Last updated in NPPESMay 20, 2025
Certification dateMay 20, 2025
Mailing address1130 N Kimball Ave Ste 120, Southlake, TX 76092-4745

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