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

Individual provider Clinical Psychologist · NPI 1679971865

Jared Moore, PSYD is a Clinical Psychologist in Philadelphia, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2014
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

4701 Pine St Apt B13
Philadelphia, PA 19143-1816
Phone: (201) 310-6508
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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 PS017735 (PA)

Record details

NPI number1679971865
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYD
Sole proprietorYes
NPI enumeratedDecember 20, 2014
Last updated in NPPESJune 20, 2018

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