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

Mark Daniel Moore, MASCHOOLPSYCHOLOGY

Individual provider School Psychologist · NPI 1073031019

Mark Daniel Moore, MASCHOOLPSYCHOLOGY is a School Psychologist in Crescent City, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2017
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

100 Miner St
Crescent City, IL 60928-8092
Phone: (815) 683-2662
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

School Psychologist (primary) Taxonomy 103TS0200X · Licence 1986210 (IL)

Record details

NPI number1073031019
Entity typeIndividual (Type 1)
GenderMale
Credentials MASCHOOLPSYCHOLOGY
Sole proprietorYes
NPI enumeratedAugust 30, 2017
Last updated in NPPESJuly 21, 2022