Mike Moore
Mike Moore is a Developmental Therapist in Slidell, Louisiana. Practices as a sole proprietor and works from 2 locations. Registered with an NPI since 2016.
- In the registry since
- 2016
- Specialties on file
- 2
Practice location Address checks out
2053 Gause Blvd E Ste 150Slidell, LA 70461-5451
Phone: (985) 445-3089
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 500 Fairway Dr Ste 102, Deerfield Beach, FL 33441-1817 — (954) 603-7885
Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X |
|---|---|
| Developmental Therapist | Taxonomy 222Q00000X |
Record details
| NPI number | 1750839577 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | September 21, 2016 |
| Last updated in NPPES | November 27, 2019 |
| Mailing address | 500 Fairway Dr Ste 102, Deerfield Beach, FL 33441-1817 |
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