Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Stephanie Diane Moore, PSYD

Individual provider Clinical Psychologist · NPI 1396874087

Dr. Stephanie Diane Moore, PSYD is a Clinical Psychologist in Waterford, Connecticut. Graduated from Baylor College of Medicine in 1989, 37 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
37
Trained at
Baylor College of Medicine
Licensed in
CT
In the registry since
2007
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

567 Vauxhall Street Ext #107
Waterford, CT 06385
Phone: (860) 439-1980
Fax: (860) 388-4460
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 001668 (CT)

Record details

NPI number1396874087
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD
Sole proprietorYes
NPI enumeratedMarch 5, 2007
Last updated in NPPESJune 20, 2012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolBAYLOR COLLEGE OF MEDICINE
Graduated 1989 (37 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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