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

Individual provider Rehabilitation Psychologist · NPI 1750632782

Jackie Rena Moore, BHRS is a Rehabilitation Psychologist in Spencer, Oklahoma. Practices as a sole proprietor. Registered with an NPI since 2012.

In the registry since
2012
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Practice location Address checks out

5721 Oakwood St
Spencer, OK 73084-8638
Phone: (405) 413-8416
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rehabilitation Psychologist (primary) Taxonomy 103TR0400X

Record details

NPI number1750632782
Entity typeIndividual (Type 1)
GenderFemale
Credentials BHRS
Sole proprietorYes
NPI enumeratedOctober 1, 2012
Last updated in NPPESOctober 1, 2012

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